BackTable / VI / Podcast / Episode #455
Evolving TIPS Procedures Using New Tools & ICE
with Dr. Dylan Suttle and Dr. Harris Chengazi
Dr. Dylan Suttle and Dr. Harris Chengazi delve into recent advancements in transjugular intrahepatic portosystemic shunt (TIPS) procedures, highlighting the significant reduction in procedural time and improvements in outcomes due to the introduction of Intracardiac Echo (ICE) and the Scorpion Portal Vein Access Series.
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BackTable, LLC (Producer). (2024, June 18). Ep. 455 – Evolving TIPS Procedures Using New Tools & ICE [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Dylan Suttle
Dr. Dylan Suttle is an interventional radiologist with DRI Greensboro Imaging in North Carolina.
Dr. Harris Chengazi
Dr. Harris Chengazi is an interventional radiologist with Great Lakes Medical Imaging in PIttsford, New York.
Dr. Christopher Beck
Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.
Synopsis
The doctors share their experiences, techniques, and the evolution of their approaches. They emphasize benefits such as high-resolution imaging, cost-effectiveness, and new technologies that make TIPS cases more approachable.
Timestamps
00:00 - Introduction
06:17 - Portal Hypertension Clinics
13:17 - Technical Aspects of TIPS Procedures
35:17 - Challenges in Selecting the Right Hepatic Vein
38:48 - Pre-Procedure Planning
39:36 - Puncture Techniques
50:04 - Stent Deployment and Placement
55:35 - Learning Curve of ICE & Advantages
01:07:58 - The Future of TIPS Procedures
Resources
BackTable VI Episode #123 - TIPS University Freshman Year: Referrals and Pre-op Workup with Dr. Emmett Lynskey:
https://www.backtable.com/shows/vi/podcasts/123/tips-university-freshman-year-referrals-pre-op-workup
BackTable VI Episode #124 - TIPS University Sophomore Year: Basic Procedure Technique
with Dr. Emmett Lynskey:
https://www.backtable.com/shows/vi/podcasts/124/tips-university-sophomore-year-basic-procedure-technique
BackTable VI Episode #125 - TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Emmett Lynskey:
https://www.backtable.com/shows/vi/podcasts/125/tips-university-junior-year-advanced-techniques-ice-splenic-access
BackTable VI Episode #126 - TIPS University Senior Year: Gunsight Technique & Splenic Closure with Dr. Emmett Lynskey:
https://www.backtable.com/shows/vi/podcasts/126/tips-university-senior-year-gunsight-technique-splenic-closure
Dr. Suttle TIPS Technique Video:
https://www.youtube.com/watch?v=jYfr_rWe5Ck
TIPS prevents further decompensation and improves survival in patients with cirrhosis and portal hypertension in an individual patient data meta-analysis:
https://www.journal-of-hepatology.eu/article/S0168-8278(23)00314-8/abstract
Intracardiac Echocardiography–Guided TIPS: A Primer for New Operators:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540636/
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.