2026-04-19T20:37:44Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2228432025-11-19T22:33:25Zcom_2072_1057col_2072_478916col_2072_478917

00925njm 22002777a 4500 dc Huerta, Anna author García Guix, Marta author Villanueva, Càndid author 2025-08-29T11:38:22Z 2025-08-29T11:38:22Z 2025-07-26 2025-08-26T11:21:06Z Purpose of reviewWe aimed to review the role of TIPS in acute variceal bleeding (AVB), focusing on preemptive-TIPS (p-TIPS) as discrepant data suggest room for refinement.Recent findingsSalvage-TIPS can effectively control ongoing AVB despite first-line therapy, but mortality is high. Placing a p-TIPS to prevent failure in high-risk patients may improve survival. This is related to its effect decreasing the overall risk of a further decompensation (FD), not just rebleeding but also ascites and derived complications.SummaryFD is closely related to death risk after AVB. The risk of FD and death concentrates in patients presenting with ascites +/- HE in addition to AVB. p-TIPS improve survival, not only by decreasing rebleeding risk, but mainly FD overall. This review suggests potential improvements to optimize p-TIPS, such as improving risk stratification, restricting the indication to patients with AVB and ascites +/- HE, or selectively identifying those at high-risk of failure (10%-15% cases) for an early placement. Research on these issues is warranted. http://hdl.handle.net/2445/222843 Varices Hemorràgia Varicose veins Hemorrhage Role of Tips in Acute Variceal Bleeding