✴️Transjugular Intrahepatic Portosystemic Shunt (TIPS).
🔁Procedure- It is a minimally invasive procedure creating a channel between the hepatic vein & the portal vein to decompress portal hypertension.
⛑️Indication- It is primarily indicated for complications of portal hypertension such as refractory variceal bleeding & ascites unresponsive to medical treatment. ✅TIPS effectively reduces portal pressure, improving survival & symptom control.
🚫Contraindications- Severe heart failure, severe pulmonary hypertension, active infection & advanced liver failure.
⚠️Common complications- Hepatic encephalopathy (seen in 30-50% cases), shunt dysfunction or thrombosis, hemorrhage, liver ischemia & rarely, infection of the shunt (endotipsitis) & Post TIPS liver failure.
Todo en este clip esta mal. Empezando por la impunidad con la que habla de violar la intimidad de alguien que fue parte de su vida, creyéndose gracioso. Se me revuelve la panza del asco que me da este tipo