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When is a TIPS procedure indicated for a pediatric patient with sinusoidal obstructive syndrome?

Adults tend to do this procedure earlier in the course, but it is unclear when it is appropriate for a pediatric patient, and is often considered too late.
1 Answer
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Pediatric Hematology/Oncology · University of Florida
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TIPS (transjugular intrahepatic portosystemic shunt) procedure is not indicated in children with sinusoidal obstructive syndrome and most literature on this topic (in adults) dates prior to 2000. In the largest adult series using TIPS for VOD in adults (D'Azoulay et al., PMID 10800068), out of 10 pa...

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