Welcome to Richter Sand! 1  Richter Sand is a sand & stone supplier that was established in 1996 and has been in operation ever since. The enterprise consists of a well-groomed family business, with the second generation taking over. The directors has more than 25 years collective experience in the business of mining and supply of sand and stone, to the building industry and other enterprises in and around Pretoria. The business has grown from transporting of sand to supplying of sand to other transporters.
Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure to create new connections between two blood vessels in your liver. You may need this procedure if you have severe liver problems. Reference from A.D.A.M.
There are several types of shunts that are placed surgically. TIPS is a non-surgical way of placing a portosystemic shunt. The shunt is passed down the jugular vein in the neck by a radiologist using x-ray guidance. The shunt then is inserted between the portal and hepatic veins within the liver.