Objective: To evaluate technical effectiveness and complication rafe of portosystemic collateral embolization during TIPS procedure in patient with varicose bleeding. Materiál and method: In the past S years authors performed 334 TIPS procedures in patients with variceal bleeding, the embolization of varices was done in 274 patients (82 %). The authors embolized 310 portosystemic collaterals (the left gastric vein in 224 cases, the short gastric veins in 46 cases, the splenorenal shunt in four cases). A mixture of acrylate glue was used in most cases of embolization. Results: The success rafe of TIPS procedure and adjunctive embolization for initial control of bleeding was 84 %, the incidence of rebleeding was 13 % (always with shunt dysfunction). Seven patients (2 %) continued to bleed even after adequate portal decompression by TIPS. The secondary success rafe for control of bleeding was 98 %. A partial dislocation or embolization of glue to the portal or pulmonary system was observed in 7 patients (2.5%). Conclusion: An adequate reduction of the portosystemic gradient is the basic method of treatment of bleeding in patients with portosystemic hypertension. Adjunctive embolization of portosystemic collaterals can reduce the rebleeding rafe.

        Key words: varices - bleeding -embolization - TIPS