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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Jun 27, 2022; 14(6): 1200-1209
Published online Jun 27, 2022. doi: 10.4254/wjh.v14.i6.1200
Published online Jun 27, 2022. doi: 10.4254/wjh.v14.i6.1200
Use of doppler ultrasound to predict need for transjugular intrahepatic portosystemic shunt revision
Nikki Duong, Richard K Sterling, Division of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University Medical Center, Richmond, VA 23219, United States
Marcus Healey, Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, VA 23219, United States
Kunal Patel, Brian J Strife, Division of Interventional Radiology, Virginia Commonwealth University Medical Center, Richmond, VA 23219, United States
Author contributions: Duong N and Sterling RK contributed to the design of the study, data analysis, and major edits; Duong N, Healey M and Patel K contributed to data collection; Strife B contributed to major edits of the manuscript; all authors have read and approve the final manuscript.
Institutional review board statement: Study was approved by IRB ( IRB HM20022488).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: No conflicts of interest for all authors.
Data sharing statement: No additional data available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nikki Duong, MD, Academic Fellow, Division of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University Medical Center, 1200 E Broad Street, Richmond, VA 23219, United States. nduong91@gmail.com
Received: January 30, 2022
Peer-review started: January 30, 2022
First decision: March 25, 2022
Revised: March 28, 2022
Accepted: May 22, 2022
Article in press: May 22, 2022
Published online: June 27, 2022
Peer-review started: January 30, 2022
First decision: March 25, 2022
Revised: March 28, 2022
Accepted: May 22, 2022
Article in press: May 22, 2022
Published online: June 27, 2022
Core Tip
Core Tip: Transjugular intrahepatic portosystemic shunt (TIPS) is used to treat complications of portal hypertension, however methods to assess TIPS patency are highly variable. Herein, we present a retrospective review of patients referred for TIPS revision from 2008-2021, and demonstrate that doppler ultrasound has poor overall sensitivity and specificity in predicting need for TIPS revision. Non-invasive methods of predicting TIPS dysfunction are needed since those needing TIPS revision had better survival.