Are there any pitfalls or probe settings that early operators might not do right?

Technique & New Tools for TIPS with Dr. George Behrens

Lesson 1

Introduction: Module I

Lesson 2

Can you tell us about your unique portal hypertension practice and referral system for TIPS?

Lesson 3

When working up a patient for TIPS, what do you specifically get for the procedure?

Lesson 4

Tell us about the first steps of your TIPS, do you start with a paracentesis for ascites?

Lesson 5

What are the next steps after you place your sheath?

Lesson 6

Tell us about why you use CO2 portogram and not ICE guidance

Lesson 7

After you're set up and ready to make some throws how do you go about it?

Lesson 8

With the new Scorpion needle, how do you have the ability to track anterior rather than just cranial caudal?

Lesson 9

So with a curved cannula and a curved needle tip that adds to directionality, how does this help you move the direction you want to go?

Lesson 10

How does the Scorpion TIPS set give you more steerability and maneuverability when accessing the portal system?

Lesson 11

After parking your glidewire advantage, what's your technique for getting the parenchyma dilated and sheath across?

Lesson 12

After you get the stent deployed and landing zones determined, what next?

Lesson 13

Can you give some rough guidelines for what to do when you have a really elevated portal pressure?

TIPS with ICE Guidance with Dr. Merve Ozen

Lesson 14

Introduction: Module II

Lesson 15

What made you decide to bring ICE TIPS into your practice and do you do all of your TIPS with ICE guidance?

Lesson 16

Walk us through the machine that you use for your ICE guidance and how you use it

Lesson 17

Are there any pitfalls or probe settings that early operators might not do right?

Lesson 18

Why is it important to understand the anatomy and take your time scanning? Which needle do you use and why?

Lesson 19

Can you describe what you are looking for on your ICE image before you stick?

Lesson 20

Any troubleshooting you've encountered with the ICE stick and how do you approach challenging cases?

Lesson 21

Are there situations where you don't use ICE to teach how to do regular tips?

Lesson 22

Why is it important to take your time at the beginning and what should you do if you feel like you aren't on the right trajectory?

Gunsight Technique & Splenic Closure with Emmett Lynskey

Lesson 23

Introduction: Module III

Lesson 24

What do you do to determine and optimize a target once you've positioned your catheter in the right portal?

Lesson 25

What kind of snare do you throw up in the right portal and how do you actually get the wire snared?

Lesson 26

Tell us about next steps once you've stuck with a 22 gauge chiba. Do you feed it to the parenchyma a little bit to engage the snare?

Lesson 27

Now that you have your 0.035 system in place, what are the next steps in forming the tips?

Lesson 28

What are the different options for splenic closure?

TREAT LIVE at Mt Sinai Case: TIPS with Portal Recanalization

Lesson 29

TREAT LIVE at Mt Sinai Case: TIPS with Portal Recanalization