Previously published by the Society for Interventional Radiology (SIR), this fully revised and updated edition presents considerable clinical challenges due to the delicate nature of the impacted organs, veins, and vessels.

Comprehensive guide

x From pathophysiology to the latest state-of-the-art approaches, five major sections encompass the diagnostic, medical, endoscopic, non-vascular, surgical, percutaneous, endovascular, and balloonoccluded methodologies
x World-renowned interventional radiologists share clinical pearls and step-by-step procedural guidance
x Hepatic and portal venous anatomy relative to procedural approaches
x Nearly 250 figures elucidate anatomical structures and technical methodologies

New
x Several advanced techniques have been developed: Transjugular Intrahepatic Portosystemic Shunt (TIPS), Balloon-Occluded Retrograde Transvenous Obliteration (BRTO), and variations on TIPS, and these are featured herein

Section I Pathogenesis and Diagnosis
Chapter 1 Pathophysiology and Classification of Liver Cirrhosis and Portal Hypertension
Chapter 2 Clinical Presentation of Portal Hypertension
Chapter 3 Noninvasive Cross-Sectional and Vascular Imaging of Portal Hypertension
Chapter 4 Indirect Portal Pressure Measurement and Carbon Dioxide Wedged Hepatic Portography
Chapter 5 Hemodynamic Evaluation of the Liver and Transjugular Liver Biopsy
Section II Medical, Endoscopic, Percutaneous, and Surgical Management
Chapter 6 Medical Management of Portal Hypertension Complications
Chapter 7 Endoscopic Classification and Management of Varices
Chapter 8 Paracentesis and the LeVeen and Denver Shunts
Chapter 9 Surgical Management of Portal Hypertension
Chapter 10 Percutaneous Management of Surgically Placed Portosystemic Shunts
Section III Endovascular Management: Shunts and Splenic Embolization
Chapter 11 Patient Selection and the Effect of Transjugular Intrahepatic Portosystemic Shunt on Liver and Kidney Function
Chapter 12 Hepatic and Portal Venous Anatomy Relative to the Transjugular Intrahepatic Portosystemic Shunt Procedure
Chapter 13 Technique for the Transjugular Intrahepatic Portosystemic Shunt Procedure
Chapter 14 The Difficult Transjugular Portosystemic Shunt Procedure: Unconventional Techniques
Chapter 15 The Intravascular Ultrasound–Guided Direct Intrahepatic Portacaval Shunt
Chapter 16 Hemodynamic Changes Following the Transjugular Intrahepatic Portosystemic Shunt
Chapter 17 Budd-Chiari Syndrome: Transjugular Intrahepatic Portosystemic Shunt and Hepatic Vein Recanalization
Chapter 18 Transjugular Intrahepatic Portosystemic Shunt Reduction for Post-TIPS Hepatic Encephalopathy
Chapter 19 Patency Outcomes of Transjugular Intrahepatic Portosystemic Shunts in the Stent-Graft Era
Chapter 20 Doppler Surveillance of Transjugular Intrahepatic Portosystemic Shunts in the Stent-Graft Era
Chapter 21 Transjugular Intrahepatic Shunts for Variceal Bleeding: Results of Clinical Studies
Chapter 22 Transjugular Intrahepatic Portosystemic Shunts for Ascites and Hepatic Hydrothorax: Results of Clinical Studies
Chapter 23 The Transjugular Intrahepatic Portosystemic Shunt as a Prelude to and After Liver Transplantation
Chapter 24 Management of Mesenteric and Portal Vein Thrombosis in Nontransplanted Patients
Chapter 25 Percutaneous Mesocaval Shunts
Chapter 26 Splenic Artery Embolization for Management of Hypersplenism and Portal Hypertension
Chapter 27 Pediatric Portal Interventions
Section IV Percutaneous and Endovascular Management: Transvenous Obliteration
Chapter 28 Vascular Anatomy and Classification Schema of Gastric Varices Relevant to Balloon-Occluded Retrograde Transvenous Obliteration
Chapter 29 The Conventional Balloon-Occluded Retrograde Transvenous Obliteration Procedure
Chapter 30 Balloon-Occluded Antegrade Transvenous Obliteration and Variations of Balloon-Occluded Retrograde Transvenous Obliteration in the Treatment of Gastric Varices
Chapter 31 Clinical Outcomes of Balloon-Occluded Retrograde Transvenous Obliteration and Balloon-Occluded Antegrade Transvenous Obliteration
Chapter 32 Management of Duodenal Varices
Chapter 33 Management of Stomal Varices