This month’s journal-based CME article is titled "Muscle Gain after Transjugular Intrahepatic Portosystemic Shunt: Time Course and Prognostic Implications for Survival in Cirrhosis."

While 90% of cirrhotics have sarcopenia, there is limited information on the impact of TIPS creation in patients with sarcopenia, including changes in muscle gain or factors that predict muscle gain after a TIPS. This study helps identify the impact and the extent of muscle gain in patients undergoing TIPS, while identifying patients most likely to demonstrte muscle gain post-TIPS.

This program is designed to meet the educational needs of interventional radiologists, hepatologists, hepatobiliary and transplant surgeons, nurses, techs, and trainees at all levels with special interest in stroke. 

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 75% or better on the post test. Participants will have three opportunities to score 75% or better.

Learning Objectives
After participating in this journal-based CME activity, learners should be able to:

• Define sarcopenia and conditions associatedwith sarcopenia
• Describe the impact of sarcopenia associated with cirrhosis on mortality and transplantation
• Identify the impact of TIPs creation on sarcopenia and describe predictors associated with muscle gain post TIPS.

Authors
JVIR CME Editor
Nishita Kothary, MD
Stanford University Medical Center, Stanford CA

Authors

Younes Jahangiri
Priya Pathak
Yuki Tomozawa
Lei Li
Barry Schlansky
Khashayar Farsad, M.D., Ph.D.

Charles T. Dotter Department of Interventional Radiology, Oregon Health and Science University, Portland, OR.

Department of Gastroenterology and Hepatology, Oregon Health and Science University, Portland, OR.

No authors have conflicts of interest.

Accreditation Statement
This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).

The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide continuing medical education for physicians. SIR designates this education activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is approved for 1 self-assessment CME credit (SA-CME) by the Society of Interventional Radiology (SIR) - approved May 1, 2019. SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME credit offered for this enduring activity meets the ABR’s criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.