Ep. 455 Evolving TIPS Procedures Using New Tools and ICE with Dr. Dylan Suttle and Dr. Harris Chengazi
Episode description
Dr. Dylan Suttle and Dr. Harris Chengazi delve into recent advancements in transjugular intrahepatic portosystemic shunt (TIPS) procedures, highlighting the significant reduction in procedural time and improvements in outcomes due to the introduction of Intracardiac Echo (ICE) and the Scorpion Portal Vein Access Series.
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SYNPOSIS
The doctors share their experiences, techniques, and the evolution of their approaches. They emphasize benefits such as high-resolution imaging, cost-effectiveness, and new technologies that make TIPS cases more approachable.
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TIMESTAMPS
00:00 - Introduction
06:17 - Portal Hypertension Clinics
13:17 - Technical Aspects of TIPS Procedures
35:17 - Challenges in Selecting the Right Hepatic Vein
38:48 - Pre-Procedure Planning
39:36 - Puncture Techniques
50:04 - Stent Deployment and Placement
55:35 - Learning Curve of ICE & Advantages
01:07:58 - The Future of TIPS Procedures
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RESOURCES
BackTable VI Episode #123 - TIPS University Freshman Year: Referrals and Pre-op Workup with Dr. Emmett Lynskey:
BackTable VI Episode #124 - TIPS University Sophomore Year: Basic Procedure Technique
with Dr. Emmett Lynskey:
BackTable VI Episode #125 - TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Emmett Lynskey:
BackTable VI Episode #126 - TIPS University Senior Year: Gunsight Technique & Splenic Closure with Dr. Emmett Lynskey:
Dr. Suttle TIPS Technique Video:
https://www.youtube.com/watch?v=jYfr_rWe5Ck
TIPS prevents further decompensation and improves survival in patients with cirrhosis and portal hypertension in an individual patient data meta-analysis:
https://www.journal-of-hepatology.eu/article/S0168-8278(23)00314-8/abstract
Intracardiac Echocardiography–Guided TIPS: A Primer for New Operators: