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Time to Rethink TIPS  

Advanced by compelling evidence, earlier transjugular intrahepatic portosystemic shunt (TIPS) is helping physicians increase survival in high-risk liver disease patients. 

Higher transplant-free survival for recurrent ascites at one year*,1 
Higher survival in Child-Pugh C patients with acute variceal bleeding (AVB) at one year†,2 

93% TIPS

vs. 52% large-volume paracenteses (LVP) +albumin (A) (P =.003)

78% TIPS

vs. 53% pharmacotherapy + endoscopic band ligation (EBL) (P =.002)

* Early TIPS (n = 29) compared to large-volume paracenteses and albumin infusion (LVP+A) (n = 33).

Early TIPS (n = 66) compared to pharmacotherapy+endoscopic band ligation (EBL) (n = 605). Child-Pugh C patients with scores < 14.

  1. Bureau C, Thabut D, Oberti D, et al.  Transjugular intrahepatic portosystemic shunts with covered stents increase transplant-free survival of patients with cirrhosis and recurrent ascites. Gastroenterology 2017;152(1):157-163. http://www.sciencedirect.com/science/article/pii/S0016508516351101
  2. Hernández-Gea V, Procopet B, Giráldez Á, et al; International Variceal Bleeding Observational Study Group and Baveno Cooperation. Preemptive-TIPS improves outcome in high-risk variceal bleeding: an observational study. Hepatology 2019;69(1):282-293. https://aasldpubs.onlinelibrary.wiley.com/doi/full/10.1002/hep.30182
IFU Consult instructions

Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. RXOnly  

INDICATIONS FOR USE IN EUROPE: The GORE® VIATORR® TIPS Endoprosthesis with Controlled Expansion is indicated for use in the treatment of portal hypertension and its complications such as variceal bleeding and refractory ascites.

CONTRAINDICATIONS: There are no known contraindications for this device. 

Product may not be available in all countries. Please check with your Gore representative for availability.