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UCLA Interventional Radiology

UCLA Interventional Radiology

UCLA Interventional Radiology
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  • About Us
  • Conditions Treated
    • Ascites
    • Aneurysm and Dissection
    • Benign Prostatic Hyperplasia (BPH)
    • Biliary Leak
    • Biliary Obstruction
    • Deep Vein Thrombosis (DVT)
    • Encephalopathy
    • Gastrointestinal Bleeding
    • Gastrointestinal Ischemia
    • Hereditary Hemorrhagic Telangiectasia
    • Liver Cancer
    • Liver Cancer (Metastatic)
    • Malnutrition
    • Obstruction
    • Osteoarthritis of the Knee
    • Peripheral Arterial Disease
    • Pelvic Congestion Syndrome
    • Portal Hypertension
    • Pulmonary Arteriovenous Malformations (AVM)
    • Pulmonary Embolism (PE)
    • Uterine Fibroids
    • Variceal Bleeding
    • Varicocele
    • Varicose/Spider Veins
    • Venous and Lymphatic Malformations
    • Vertebral Fracture
    • Ascites
    • Aneurysm and Dissection
    • Benign Prostatic Hyperplasia (BPH)
    • Biliary Leak
    • Biliary Obstruction
    • Deep Vein Thrombosis (DVT)
    • Encephalopathy
    • Gastrointestinal Bleeding
    • Gastrointestinal Ischemia
    • Hereditary Hemorrhagic Telangiectasia
    • Liver Cancer
    • Liver Cancer (Metastatic)
    • Malnutrition
    • Obstruction
    • Osteoarthritis of the Knee
    • Peripheral Arterial Disease
    • Pelvic Congestion Syndrome
    • Portal Hypertension
    • Pulmonary Arteriovenous Malformations (AVM)
    • Pulmonary Embolism (PE)
    • Uterine Fibroids
    • Variceal Bleeding
    • Varicocele
    • Venous and Lymphatic Malformations
    • Vertebral Fracture
  • Treatments & Procedures
    • Angiography
    • Angioplasty and Vascular Stenting
    • Arterial Thrombolysis
    • Balloon-Occluded Retrograde Transvenous Obliteration
    • Biliary Drainage
    • Biopsy, Percutaneous
    • Chemoembolization
    • Cyst Aspiration/Sclerosis
    • Dialysis Fistula/Graft Interventions
    • Drainage, Percutaneous
    • Embolization
    • Gastrostomy and Gastrojejunostomy Tube Placement
    • Genicular Artery Embolization (GAE)
    • Inferior Vena Cava Filter Placement and Removal
    • Lung Biopsy
    • Prostate Artery Embolization (PAE)
    • Pulmonary Angiography and Embolization
    • Radioembolization (Y90)
    • Stent Graft Placement
    • Transjugular Intrahepatic Portosystemic Shunt (TIPS)
    • Transjugular Liver Biopsy
    • Tumor Ablation
    • Uterine Fibroid Embolization
    • Varicocele Embolization
    • Varicose Vein Treatment
    • Vascular Access Procedures
    • Venous Thrombolysis and Recanalization
    • Vertebroplasty and Kyphoplasty
    • Angiography
    • Angioplasty and Vascular Stenting
    • Arterial Thrombolysis
    • Balloon-Occluded Retrograde Transvenous Obliteration
    • Biliary Drainage
    • Biopsy Percutaneous
    • Chemoembolization
    • Cyst Aspiration/Sclerosis
    • Dialysis Fistula/Graft Interventions
    • Drainage Percutaneous
    • Embolization
    • Gastrostomy and Gastrojejunostomy Tube Placement
    • Genicular Artery Embolization (GAE)
    • Inferior Vena Cava Filter Placement and Removal
    • Lung Biopsy
    • Prostate Artery Embolization (PAE)
    • Pulmonary Angiography and Embolization
    • Radioembolization (Y90)
    • Stent Graft Placement
    • Transjugular Intrahepatic Portosystemic Shunt (TIPS)
    • Transjugular Liver Biopsy
    • Tumor Ablation
    • Uterine Fibroid Embolization
    • Varicocele Embolization
    • Vascular Access Procedures
    • Venous thrombolysis and recanalization
    • Vertebroplasty and Kyphoplasty
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UCLA Interventional Radiology

Treatments & Procedures

Treatments & Procedures

Treatments & Procedures

  • Angiography
  • Angioplasty and Vascular Stenting
  • Arterial Thrombolysis
  • Balloon-Occluded Retrograde Transvenous Obliteration
  • Biliary Drainage
  • Biopsy Percutaneous
  • Chemoembolization
  • Cyst Aspiration/Sclerosis
  • Dialysis Fistula/Graft Interventions
  • Drainage Percutaneous
  • Embolization
  • Gastrostomy and Gastrojejunostomy Tube Placement
  • Genicular Artery Embolization (GAE)
  • Inferior Vena Cava Filter Placement and Removal
  • Lung Biopsy
  • Prostate Artery Embolization (PAE)
  • Pulmonary Angiography and Embolization
  • Radioembolization (Y90)
  • Stent Graft Placement
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS)
  • Transjugular Liver Biopsy
  • Tumor Ablation
  • Uterine Fibroid Embolization
  • Varicocele Embolization
  • Vascular Access Procedures
  • Venous thrombolysis and recanalization
  • Vertebroplasty and Kyphoplasty
  • Angiography
  • Angioplasty and Vascular Stenting
  • Arterial Thrombolysis
  • Balloon-Occluded Retrograde Transvenous Obliteration
  • Biliary Drainage
  • Biopsy Percutaneous
  • Chemoembolization
  • Cyst Aspiration/Sclerosis
  • Dialysis Fistula/Graft Interventions
  • Drainage Percutaneous
  • Embolization
  • Gastrostomy and Gastrojejunostomy Tube Placement
  • Genicular Artery Embolization (GAE)
  • Inferior Vena Cava Filter Placement and Removal
  • Lung Biopsy
  • Prostate Artery Embolization (PAE)
  • Pulmonary Angiography and Embolization
  • Radioembolization (Y90)
  • Stent Graft Placement
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS)
  • Transjugular Liver Biopsy
  • Tumor Ablation
  • Uterine Fibroid Embolization
  • Varicocele Embolization
  • Vascular Access Procedures
  • Venous thrombolysis and recanalization
  • Vertebroplasty and Kyphoplasty
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  4. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

Transjugular Intrahepatic Portosystemic Shunt (TIPS)

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Treatment for:

Ascites, Portal hypertension

Why it’s done:

Liver disease can cause restriction of flow through the liver, resulting in elevated pressure in the circulation from the bowel to the liver (portal vein). High portal vein pressures can cause bleeding (esophageal or gastric varices), and can cause buildup of fluid in the abdomen (ascites) or the chest (hepatic hydrothorax).

How it’s done:

An interventional radiologist uses ultrasound and X-rays to guide a catheter into the vein draining the liver. A specialized needle is then passed through the inside of the liver and into the portal vein. A covered stent is placed to create a shunt from the portal vein to the hepatic vein, bypassing the liver and relieving the elevated portal vein pressure.

TIPS-original.png

Level of anesthesia:

General anesthesia

Risks:

Bleeding, infection, liver failure, confusion (hepatic encephalopathy)

Post-procedure:

Most patients are admitted for several days for monitoring.

Follow-up:

Doppler ultrasound is performed 2-7 days after TIPS to make sure the shunt remains open. Follow-up is usually every 6 months afterward to monitor for any narrowing or blockage of the shunt.

For More Information:

For more information or to schedule an appointment with one of our IR physicians, please call 310-481-7545.

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