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Neuhuber, A.
Echocardiographic parameters as predictors of cardiac decompensation after transjugular intrahepatic portosystemic shunt
Humanmedizin; [ Diplomarbeit ] Medizinische Universität Graz; 2025. pp.

Authors Med Uni Graz:
Advisor:: Schwegel Nora; von Lewinski Dirk
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Abstract:: Background and Aim: The implantation of a transjugular intrahepatic portosystemic shunt (TIPS) is a therapeutic option for patients with advanced liver disease. However, approximately 20% of patients develop acute heart failure within one year after the procedure. The main cause of death in patients with cirrhosis who have undergone a TIPS procedure is cardiac decompensation. The mechanisms are most likely either the presence of cirrhotic cardiomyopathy and/or volume changes after the TIPS implantation. Additionally, the study seeks to evaluate the efficacy of the Toulouse algorithm as a decision-making tool for risk assessment prior to the TIPS procedure.