Transjugular intrahepatic portosystemic shunt creation in children: initial clinical experience.

Abstract

This initial clinical experience suggests that TIPS creation is technically feasible and is as safe in children as in adults. TIPS creation can aid in the management of portal hypertension in children, especially in those needing temporary relief before liver transplantation.

Transjugular intrahepatic portosystemic shunt prior to renal transplantation in a child with autosomal‐recessive polycystic kidney disease and portal hypertension: A case report

“…The literature describing results with the use of TIPS in children is scarce. Two series of 12 (5) and nine (10) patients found the procedure to be technically feasible and as safe as in adults. In pediatric patients, the potential advantages of TIPS over surgical shunts include a decreased morbidity and mortality, avoidance of surgery in the region of the hepatic hilum (which may be important in potential liver transplant candidates), and avoidance of abdominal adhesions from surgery that might prevent peritoneal dialysis if needed in the future.…”

Transjugular Intrahepatic Portosystemic Shunt Placement in Liver Transplant Recipients: Experiences with Pediatric and Adult Patients

“…Ciccarelli et al [7] reported a case of early portal vein thrombosis after liver transplantation treated by combining TIPS creation and thrombolysis. A series of pediatric TIPS placements included a liver transplant recipient [8]. Richard et al [5] reported a case of TIPS placement in a patient who had a liver transplant complicated by Budd-Chiari syndrome.…”

Acute variceal bleeding: general management

“…These sites are also amenable to embolization via shunt. TIPS have been successfully placed in infants [104,105] , and children [106][107][108] with similar efficacy.…”