Document Detail

Transhepatic puncture of portal and hepatic veins for TIPS using a single-needle pass under sonographic guidance.
MedLine Citation:
PMID:  16794144     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Creating transjugular intrahepatic portosystemic shunts (TIPS) requires accessing a portal vein branch from a metal cannula wedged in a hepatic vein. This initial step in shunt creation often requires multiple blind intrahepatic punctures and occasionally fails. We describe a method using sonographic guidance to serially puncture the portal vein and hepatic vein with a single transhepatic needle pass, after which the TIPS procedure is completed in the standard transjugular fashion.
CONCLUSION: Sonographically guided transhepatic dual puncture of the portal and hepatic veins facilitates portosystemic shunt creation in a single needle pass and allows more controlled selection of the portal vein entry and hepatic vein landing sites in selected patients.
Syed A Raza; Eric Walser; Alberto Hernandez; Keven Chen; Santiago Marroquin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  187     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-23     Completed Date:  2006-08-16     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  W87-91     Citation Subset:  AIM; IM    
Department of Radiology, Memorial Herman Hospital, 902 Frostwood, Ste. 275, Houston, TX 77024, USA.
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MeSH Terms
Hepatic Veins / ultrasonography*
Middle Aged
Portal Vein / ultrasonography*
Portasystemic Shunt, Transjugular Intrahepatic / methods*
Punctures / methods
Ultrasonography, Interventional*

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