Novel Image Guidance Techniques for Portal Vein Targeting During Transjugular Intrahepatic Portosystemic Shunt Creation

被引:19
作者
Farsad, Khashayar [1 ]
Kaufman, John A. [1 ]
机构
[1] Oregon Hlth & Sci Univ, Dotter Intervent Inst, 3181 SW Sam Jackson Pk Rd,L-605, Portland, OR 97201 USA
关键词
Intravascular ultrasound; transjugular intrahepatic portosystemic shunt; portal vein; image guidance; portography;
D O I
10.1053/j.tvir.2016.01.002
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
The most challenging part of transjugular intrahepatic portosystemic shunt creation is arguably the transvenous access from the hepatic vein to the portal vein. As experience and technology have evolved, the image guidance aspect of this critical step in the procedure has become more robust. Improved means to target the portal vein include both direct and indirect methods of portal vein opacification, cross-sectional imaging for both targeting and access, and novel use of transabdominal and intravascular ultrasound guidance. These techniques are described herein. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:10 / 20
页数:11
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