Answers are grounded in this paper and cite their sources.
RATIONALE AND OBJECTIVES: To investigate the impact of operator experience and the overall expertise of the medical center on technical success and procedural parameters of transjugular intrahepatic portosystemic shunt (TIPS) in a longitudinal setting. MATERIALS AND METHODS: TIPS procedures conducted at a German tertiary hospital from 2017 to 2023 were enrolled retrospectively. The impact of the center's expertise on technical success and procedural parameters was assessed by logistic and linear regressions stratified by year. Comparative analyses between more and less experienced operators were performed using Mann-Whitney U, Chi-square, and Fisher's exact tests. RESULTS: ; p<0.001), and contrast agent usage (2017: 72.0±34.6 mL vs. 2023: 48.1±24.7 mL, p<0.001). More experienced operators had significantly shorter fluoroscopy times than less experienced operators (14.0±9.9 min vs. 16.4±9.1 min, p=0.016). CONCLUSION: TIPS is a highly technically successful procedure. Increased experience at the performing center is associated with reduced procedure times, fluoroscopy times, and radiation doses, while technical success rates remain stable. Additionally, procedures performed by more experienced operators were associated with shorter fluoroscopy times.
No takes yet. Share an insight, caveat, or question.
Helmberger et al. (2025) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: