TIPS means creating anastomosis between which of the following
High-Yield Explanation
TIPS TIPSS is a non selective shunt created between poal and hepatic vein TIPSS is a Poo hepatic or intrahepatic shunt TIPSS is the acute situation should be avoided in patients requiring ventilation and with evidence of sepsis and renal failure Technique of placement Initial venous access is through the right jugular vein because this is the shoest and most direct path to catheterize the hepatic veins Right hepatic vein is most commonly used because it is the largest hepatic vein and usually has the most ourable orientation Poal vein is cannulated by Rosch needle Poal vein is localised by carbon dioxide wedge hepatic venography Poal venogram before dilating parenchyma tract is crucial, provides confirmation that poal vein has been accessed Ref: Sabiston 20th edition Pgno : 1439