Techniques for portal vein targeting during a transjugular intrahepatic portosystemic shunt

被引：0

作者：

Laney, Dan ^{[1
]}

Ferral, Hector ^{[1
]}

Fairchild, Alexandra ^{[1
]}

Ustunsoz, Bahri ^{[1
]}

机构：

[1] Louisiana State Univ, Dept Radiol, Hlth Sci Ctr, Div Intervent Radiol, Baton Rouge, CA 70803 USA

来源：

DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY | 2024年 / 30卷 / 01期

关键词：

Hepatic vein; interventional; portal hypertension; portal vein; TIPS; TIPS;

D O I：

10.4274/dir.2022.221539

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

A transjugular intrahepatic portosystemic shunt (TIPS) is one of the most challenging procedures in interventional radiology. Hepatic and portal venous anatomy can be highly variable, and access to the portal vein, which can be quite difficult even for experienced surgeons, is the most critical step in a TIPS. Although there are multiple techniques to achieve a portal venous puncture, each access technique carries a unique set of risks and benefits. Thus, knowledge of these assistive techniques will add to the resources available to the surgeon when planning and subsequently performing a TIPS and, ultimately, increase the likelihood of a safe and successful procedure.

引用

页码：42 / 47

页数：6

共 10 条

[1] Transsplenic portal vein recanalization and direct intrahepatic portosystemic shunt placement to optimize liver transplantation [J].

Ahmed, Osman ;

Salaskar, Abhijit L. ;

Zangan, Steven ;

Pillai, Anjana ;

Baker, Talia .

CVIR ENDOVASCULAR, 2020, 3 (01)

[2] Ultrasound-Guided Portal Vein Access and Percutaneous Wire Placement in the Portal Vein Are Associated With Shorter Procedure Times and Lower Radiation Doses During TIPS Placement [J].

Cam, Isa ;

Gencturk, Mehmet ;

Shrestha, Prashant ;

Golzarian, Jafar ;

Flanagan, Siobhan ;

Lim, Nicholas ;

Young, Shamar .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2021, 216 (05) :1291-1298

[3] Comprehensive Review of TIPS Technical Complications and How to Avoid Them [J].

Gaba, Ron C. ;

Khiatani, Vishal L. ;

Knuttinen, M. Grace ;

Omene, Benedictta O. ;

Carrillo, Tami C. ;

Bui, James T. ;

Owens, Charles A. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2011, 196 (03) :675-685

[4] Intracardiac Echocardiography-Guided TIPS: A Primer for New Operators [J].

Grimsbo, Matthew C. ;

Brown, Matthew A. ;

Lindquist, Jonathan D. ;

Schramm, Kristofer M. ;

Kirkpatrick, Daniel L. ;

Ryu, Robert K. ;

Trivedi, Premal S. .

SEMINARS IN INTERVENTIONAL RADIOLOGY, 2020, 37 (04) :405-413

[5] Technical and Medium-Term Clinical Outcomes of Transjugular Intrahepatic Portosystemic Shunt with Fluoroscopy and Additional Trans-abdominal Ultrasound Guidance [J].

Keshava, Shyamkumar N. ;

Moses, Vinu ;

Sharma, Anand ;

Ahmed, Munawwar ;

Narayanan, Sathya ;

Padmanabhan, Aswin ;

Goel, Ashish ;

Zachariah, Uday ;

Eapen, C. E. .

INDIAN JOURNAL OF RADIOLOGY AND IMAGING, 2021, 31 (04) :858-866

[6] Wedged hepatic venography for targeting the portal vein during TIPS: Comparison of carbon dioxide and iodinated contrast agents [J].

Krajina, A ;

Lojik, M ;

Chovanec, V ;

Raupach, J ;

Hulek, P .

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2002, 25 (03) :171-175

[7] Transjugular intrahepatic portosystemic shunt placement: portal vein puncture guided by 3D/2D image registration of contrast-enhanced multi-detector computed tomography and fluoroscopy [J].

Meine, Timo C. ;

Dewald, Cornelia L. A. ;

Becker, L. S. ;

Maehringer-Kunz, Aline ;

Massoumy, Benjamin ;

Maschke, Sabine K. ;

Kirstein, Martha M. ;

Werncke, Thomas ;

Wacker, Frank K. ;

Meyer, Bernhard C. ;

Hinrichs, Jan B. .

ABDOMINAL RADIOLOGY, 2020, 45 (11) :3934-3943

[8] INADVERTENT ARTERIOVENOUS STENTING DURING TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT PROCEDURE AND THE IMPORTANCE OF HEPATIC-ARTERY PERFUSION [J].

PATTYNAMA, PMT ;

VANHOEK, B ;

KOOL, LJS .

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1995, 18 (03) :192-195

[9] Utility of Intravascular US Guided Portal Vein Access during Transjugular Intrahepatic Portosystemic Shunt Creation: Retrospective Comparison with Conventional Technique in 109 Patients [J].

Pillai, Anil K. ;

Andring, Brice ;

Faulconer, Nicholas ;

Reis, Stephen P. ;

Xi, Yin ;

Iyamu, Ikponmwosa ;

Suthpin, Patrick D. ;

Kalva, Sanjeeva P. .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2016, 27 (08) :1154-1159

[10] Transmesenteric-transfemoral method of intrahepatic portosystemic shunt placement with minilaparotomy [J].

Rozenblit, G ;

DelGuercio, LRM ;

Savino, JA ;

Rundback, JH ;

Cerabona, TD ;

Policastro, AJ ;

Artuso, DP .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1996, 7 (04) :499-506

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