Episode 123

TIPS University Freshman Year: Referrals and Pre-op Workup

with Dr. Emmett Lynskey and Dr. Christopher Beck

BackTable, LLC (Producer). (2021, May 3). Ep. 123 – TIPS University Freshman Year: Referrals and Pre-op Workup [Audio podcast]. Retrieved from https://www.backtable.com/podcasts

We start our TIPS University series with Interventional Radiologist Dr. Emmett Lynskey discussing referral sources and pre-operative workup, including the importance of patient selection and MELD score.

Special thanks to our sponsor

Podcast Participants

Dr. Emmett Lynskey

Dr. Emmett Lynskey is an Interventional Radiologist at Advanced Vascular Centers in Washington D.C.

Dr. Christopher Beck

Host Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Your Endovascular Resource

BackTable is an exclusive library of peer-to-peer endovascular education that's always on, easy to access, and freely available to everyone in the world. Browse more content on BackTable. Contact us if you're interested in contributing!

Browse peer-to-peer endovascular content on BackTable

Show Notes

In this episode, Dr. Emmett Lynskey joins Dr. Chris Beck for the first edition of TIPS University to discuss referrals and pre-op for transjugular intrahepatic portosystemic shunts (TIPS). Dr. Lynskey begins by telling us about his fellowship at Georgetown, his current practice, and how he became interested in portal hypertension.

We talk through the most common indicators for a TIPS procedure, including refractory ascites, portal vein thrombosis, and acute bleeders. Dr. Lynskey explains how patients are referred to him, and he outlines what factors he considers before determining the eligibility for TIPS. We then discuss how useful cross sectional imaging is, and we break down the Model for End-Stage Liver Disease (MELD) score. Dr. Lynskey shares the components that make up the MELD score as well as the cutoffs and thresholds for a TIPS patient.

Next, we review diuretics and emphasize the importance of being honest with patients regarding expectations post-procedure. We explain how to phrase questions when working with cardiologists. Dr. Lynskey goes over what all he can determine from cross-sectional imaging prior to the procedure, and he tells us when he might consider an alternative to TIPS.

We discuss which labs should be done the day of the procedure and why Dr. Lynskey gets MELD labs again just before the TIPS. Dr. Lynskey tells us about blood typing, crossmatching, and fibrinogen levels. The episode wraps with Dr. Lynskey explaining the benefits of performing a paracentesis prior to TIPS.


Edward Jones Financial Advisor Yaphet Tadesse - https://www.edwardjones.com/us-en/financial-advisor/yaphet-tadesse

Sign Up for a Physician Finance Webinar - https://www.backtable.com/401k

Learn more:

Transcript Preview

This transcript is not yet available.

Join The Discussion

Related Content

No related content.



TIPS Procedure Techniques: East vs. West

TIPS Procedure Techniques Podcast with Dr. Peter Bream


TIPS University Senior Year: Gunsight Technique & Splenic Closure

TIPS University Senior Year: Gunsight Technique & Splenic Closure BackTable Podcast Guest Dr. Emmett Lynskey

Demo Video

Transjugular Intrahepatic Portosystemic Shunt (TIPS)


Practice Tool

Child-Pugh Score Calculator

Child-Pugh Score Calculator on BackTable

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.


We want to hear from you!

Submit this form if you're interested in contributing to BackTable as a Podcast Guest or as a Sponsor.

Thanks! Message sent.