Interventional radiology for the control and prevention of bleeding

M. A. McKusick

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


Percutaneous treatment of patients with variceal hemorrhage began with transhepatic bariceal embolization. These procedures proved to be ineffective as the absolute portal pressure remained elevated and varices recanalized with subsequent rebleeding. Transjugular intrahepatic portosystemic shunts (TIPS) promised the ability to effectively decompress the portal system without the need for general anesthesia. Initial enthusiasm for the procedure has waned as intrahepatic shunt durability proved to be less than adequate. Although it remains a powerful tool, TIPS is not a first line treatment for patients with variceal bleeding.

Original languageEnglish (US)
Pages (from-to)311-329
Number of pages19
JournalGastrointestinal Endoscopy Clinics of North America
Issue number2
StatePublished - 1999

ASJC Scopus subject areas

  • Gastroenterology


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