1. Introduction: Module I

    2. Can you tell us about your unique portal hypertension practice and referral system for TIPS?

    3. When working up a patient for TIPS, what do you specifically get for the procedure?

    4. Tell us about the first steps of your TIPS, do you start with a paracentesis for ascites?

    5. What are the next steps after you place your sheath?

    6. Tell us about why you use CO2 portogram and not ICE guidance

    7. After you're set up and ready to make some throws how do you go about it?

    8. With the new Scorpion needle, how do you have the ability to track anterior rather than just cranial caudal?

    9. So with a curved cannula and a curved needle tip that adds to directionality, how does this help you move the direction you want to go?

    10. How does the Scorpion TIPS set give you more steerability and maneuverability when accessing the portal system?

    11. After parking your glidewire advantage, what's your technique for getting the parenchyma dilated and sheath across?

    12. After you get the stent deployed and landing zones determined, what next?

    13. Can you give some rough guidelines for what to do when you have a really elevated portal pressure?

    14. CME/CE Reflection: Module I

    1. Introduction: Module II

    2. What made you decide to bring ICE TIPS into your practice and do you do all of your TIPS with ICE guidance?

    3. Walk us through the machine that you use for your ICE guidance and how you use it

    4. Are there any pitfalls or probe settings that early operators might not do right?

    5. Why is it important to understand the anatomy and take your time scanning? Which needle do you use and why?

    6. Can you describe what you are looking for on your ICE image before you stick?

    7. Any troubleshooting you've encountered with the ICE stick and how do you approach challenging cases?

    8. Are there situations where you don't use ICE to teach how to do regular tips?

    9. Why is it important to take your time at the beginning and what should you do if you feel like you aren't on the right trajectory?

    10. CME/CE Reflection: Module II

    1. Introduction: Module III

    2. What do you do to determine and optimize a target once you've positioned your catheter in the right portal?

    3. What kind of snare do you throw up in the right portal and how do you actually get the wire snared?

    4. Tell us about next steps once you've stuck with a 22 gauge chiba. Do you feed it to the parenchyma a little bit to engage the snare?

    5. Now that you have your 0.035 system in place, what are the next steps in forming the tips?

    6. What are the different options for splenic closure?

    7. CME/CE Reflection: Module III

  • 31 lessons
  • 1.5 hours of content
  • Earn up to 3 CME/CE credits