VAITRO CUA SEU AN TRONG CAN THEP TAO SHUNT CYA CHU TRONG GAN QUA DUONG TINH MACH CANH (TPS) TS.BS, TRAN QUANG LUC KHOA CDHA BVDK TINH PHU THO ‘ 4 ' 4 HOLNGH SIEU AM TOAN QUOC LAN THU shu \lll a THEO" NATIONAL CONGRESS OF VIETNAMESE SOCIETY OF ULTRASOUND IN MEDICINE Mt a a of hw TR hf gly 0 hn hm 0H Cy, ach an 2024 LD wn mate g¬ THE ROLE OF ULTRASOUND IN TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT INTERVENTION Tran Quang Luc «PhD, MD, Radiology DepartmPehunTtho Provincial General Hospital HONGH| SU AM TOAN QUO LAN THU shu444 \s\ AA 4 Wy 1¥\ THEO*NATONA CONGRESO VEAAMESE SOCIETY OFULTHASOUNNEIDCWNE : 7 || Y Maiyaobptinlitnuatim- Tatil | 20040 XI Content {Introduction of TIPS 2, Pre TIPS ultrasound screening 4, TIPS creation under ultrasound guided 4, Post TIPS ultrasound surveillance Introduction > Liver Cirrhosis Liver with cithosis o Hight prevalence in VN 0 0 Causes: * Alcohol * Hepatitis BC * Others (not common) 0 Consequences: *Portal venous hypertension * Hepatic encephalopathy + Liver falure * Liver cancer Introduction * Hemorrhage from GE varices š * Ascites a | * Hepatopulmonary syndrome ` + Hepatorenal syndrome \ + Primary peritonitis World J Gastrointest Phar Ther, 2019: 10/4) Introduction » Treatment: mm * Medications + Endoscopy procedures + Surgery * Interventional Radiology: > TIPS > BRTO CARTOPARTO) » PIVO TPS TIPS (Transjugula intrahepatic portosystemic shunt} * Creat a shunt from Portal vein to Hepatic vein or IVC *Blood flow travels through the shuntto the right ventricle and stops going through the varice httos:/virelinic.com TPS > Indications (Baveno VIl- Renewing consensus in portal venous hypertention || Recurrent bleeding due to rupture of gastroesophgeal varices, that falure to Control by endoscopy therapy * Recurrent ascites (requiof 2r3 elamrgee«vnoltume paracentesis with4yieanr) * Budd-Chian syndrome (when hepatic vein angloplasty/stentingthrombectomlthrombolysis is not feasible and when the patient does not improve on medical therapy including anticoagulants) fopulmonary and Hepatorenal syndrome TPS procedure Looy et WordJ Gastroenterol (2019, 19/37) II) screening P0tellie ⁄ \ Post «TIPS quiding a