BackTable / VI / Podcast / Episode #124

TIPS University Sophomore Year: Basic Procedure Technique

with Dr. Emmett Lynskey

It's Sophomore Year at TIPS University with Dr. Emmett Lynskey and Dr. Christopher Beck discussing basic procedure technique for Transjugular Intrahepatic Portosystemic Shunts (TIPS).

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TIPS University Sophomore Year: Basic Procedure Technique with Dr. Emmett Lynskey on the BackTable VI Podcast)
Ep 124 TIPS University Sophomore Year: Basic Procedure Technique with Dr. Emmett Lynskey
00:00 / 01:04

BackTable, LLC (Producer). (2021, May 7). Ep. 124 – TIPS University Sophomore Year: Basic Procedure Technique [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Emmett Lynskey discusses TIPS University Sophomore Year: Basic Procedure Technique on the BackTable 124 Podcast

Dr. Emmett Lynskey

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

Dr. Christopher Beck discusses TIPS University Sophomore Year: Basic Procedure Technique on the BackTable 124 Podcast

Dr. Christopher Beck

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

Show Notes

In this episode, Dr. Emmett Lynskey joins Dr. Chris Beck for the second edition of TIPS University to discuss basic TIPS procedure techniques. Dr. Lynskey starts us off by talking through the steps of getting access for a basic TIPS procedure, and he tells us how to check if there is a large difference between wedge pressure and the true portal pressure.

Next, we discuss doing a puff or a run of the vein to make sure that there is no obstruction of outflow. Dr Lynskey compares new and old techniques for getting the sheath into the vein, and he explains two different methods, bare back and over the wire, for getting the needle down for the TIPS procedure. We outline what you should expect to see after doing a puff of contrast, how to locate the central portal vein, and the differences between using CO2 and contrast.

Dr. Lynskey shares what factors he considers when choosing a wire for TIPS and how he uses a pigtail and a sheath to perform a dual run. We review the purpose of a dual run and discuss the details of opening the tip once the sheath is down. We then compare the final steps of the TIPS procedure based on whether or not you will embolize, and give a brief overview of embolizing using a fogarty balloon.

Dr. Lynskey goes over his goal frame rate for the final run of the TIPS, and he explains how to check the flow dynamic of blood going to the liver. He tells us about follow-up care and how it changes if a patient develops encephalopathy. We end the episode by discussing the importance of counseling patients and caretakers on medications.

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.

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TIPS Procedure Steps & Technique

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