Two-Stage Transjugular Intrahepatic Porta-Systemic Shunt for Patients With Cirrhosis and a High Risk of Portal-Systemic Encephalopathy Patients as a Bridge to Orthotopic Liver Transplantation: A Preliminary Report

A two-stage TIPS procedure to reduce portal hypertension enables a more gradual adaptation to post-TIPS hemodynamic and metabolic changes than occurs after creation of a conventional TIPS. A two-stage TIPS procedure may be the method of choice for treating bleeding from esophageal varices in patients who have a high risk of developing PSE and give them a chance for liver transplantation.