Читать книгу Emergency Management of the Hi-Tech Patient in Acute and Critical Care - Группа авторов - Страница 65

Given the increase in systemic circulation through the hepatic vein, which then returns to the heart via the inferior vena cava, patients with severe elevation in right heart pressures or pulmonary hypertension are not ideal patients to receive a TIPS. Similarly, patients with congestive heart failure should not experience the increased systemic return. Patients with active infections either systemically or within the liver should not receive TIPS. Finally, patients with concurrent bleeding diatheses should be corrected prior to the procedure.