Transjugular intrahepatic portasystemic stent shunt (TIPSS). Technique of implantation

Implantation of a transjugular intrahepatic portosystemic stent shunt (TIPSS) is guided by ultrasound and fluoroscopy. Today this stent is clinically established as a concept of «minimal invasive therapy» to treat recurrent variceal bleeding in patients with portal hypertension. We describe its technical steps in detail, giving the materials used. «Intraoperative» and «postoperative» monitoring and the typical features of an ideal shunt are described