Ep. 455 Evolving TIPS Procedures Using New Tools and ICE with Dr. Dylan Suttle and Dr. Harris Chengazi

Jun 18, 2024

Dr. Dylan Suttle and Dr. Harris Chengazi discuss advancements in TIPS procedures, highlighting reduced procedure time and improved outcomes with ICE and Scorpion tools. They cover challenges, stent deployment, learning curve of ICE, and future trends in TIPS procedures.

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Intro

00:00 • 3min

Managing Portal Hypertension: Innovations and Collaborations in IR Practice

02:48 • 13min

Comparing Imaging Probes and Explaining Vampire Stick Procedure

16:06 • 2min

Utilizing Intravascular Ultrasound in TIPS Procedures

17:48 • 22min

Enhancing Precision and Safety with ICE and Scorpion Set in Interventional Procedures

39:37 • 7min

Exploration of the Dottering Technique in Vascular Interventions

46:20 • 2min

Techniques and Tips for Precise TIPS Procedure

48:00 • 10min

Exploring Intravascular Ultrasound in TIPS Procedures

57:35 • 15min

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:

https://www.backtable.com/shows/vi/podcasts/123/tips-university-freshman-year-referrals-pre-op-workup

BackTable VI Episode #124 - TIPS University Sophomore Year: Basic Procedure Technique

with Dr. Emmett Lynskey:

https://www.backtable.com/shows/vi/podcasts/124/tips-university-sophomore-year-basic-procedure-technique

BackTable VI Episode #125 - TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Emmett Lynskey:

https://www.backtable.com/shows/vi/podcasts/125/tips-university-junior-year-advanced-techniques-ice-splenic-access

BackTable VI Episode #126 - TIPS University Senior Year: Gunsight Technique & Splenic Closure with Dr. Emmett Lynskey:

https://www.backtable.com/shows/vi/podcasts/126/tips-university-senior-year-gunsight-technique-splenic-closure

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:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540636/