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All Things Liver with Prof. Dean Karvellas
The Critical Care Commute Podcast
Trans-Jugular Interhepatic, Portosystemic, Shunt
The tip stands for trans jugular interhepatic, portosystemic, shunt. You're creating a communication or a shunt through the liver from a branch of the portal vein into the branch of the hepatic vein. This can be either done prophylactically after the first bleed, or it can be done in the salvage or rescue setting. The other reason to do this would be for acites or for example, fluid in the chest that's not managed with where a patient does not respond to diuretics.
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