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Thérapeutiques endovasculaires des pathologies veineuses pp 331–341Cite as

TIPS

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Résumé

La dérivation porto-systémique est le traitement le plus efficace des complications de l’hypertension portale. Toutefois, les techniques chirurgicales ont été quasiment abandonnées en raison des taux élevés de mortalité et d’encéphalopathie; elles sont réservées aux rares patients à la fonction hépatique parfaitement conservée. Dans les années 1990, la dérivation porto-systémique a retrouvé sa place dans l’arsenal thérapeutique de l’hypertension portale grâce au développement de son équivalent par radiologie interventionnelle: le TIPS (transjugular intrahepatic portosystemic shunt). L’abord transjugulaire du foie avait été mis au point initialement par Hanafee et Weiner dans le cadre de la réalisation de phlébographies, de cholangiographies et de biopsies hépatiques. Le premier shunt porto-systémique intrahépatique a été créé chez le porc en 1969 par J. Rösch et al. [1].

INSERM U 858 I2MR (Institut de médecine moléculaire de Rangueil) Équipe X (Athérosclérose et artériosclérose de greffe)

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Author information

Authors and Affiliations

  1. Service de radiologie, CHU Rangueil, 1, avenue Jean-Poulhes TSA 50 032, 31059, Toulouse Cedex 9, France

    Ph. Otal, S. Lagarde, T. Mokrane, J.-P. Vinel & H. Rousseau

  2. Service d’hépato-gastro-entérologie, CHU Rangueil, 1, avenue Jean-Poulhes TSA 50 032, 31059, Toulouse Cedex 9, France

    C. Bureau

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  1. Ph. Otal
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  5. J.-P. Vinel
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  6. H. Rousseau
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Otal, P., Bureau, C., Lagarde, S., Mokrane, T., Vinel, JP., Rousseau, H. (2013). TIPS. In: Thérapeutiques endovasculaires des pathologies veineuses. Springer, Paris. https://doi.org/10.1007/978-2-8178-0291-6_25

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  • DOI: https://doi.org/10.1007/978-2-8178-0291-6_25

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0290-9

  • Online ISBN: 978-2-8178-0291-6

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