| Transhepatic puncture of portal and hepatic veins for TIPS using a single-needle pass under sonographic guidance. | |
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MedLine Citation:
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PMID: 16794144 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Syed A Raza; Eric Walser; Alberto Hernandez; Keven Chen; Santiago Marroquin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 187 ISSN: 1546-3141 ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-06-23 Completed Date: 2006-08-16 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
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Languages: eng Pagination: W87-91 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Memorial Herman Hospital, 902 Frostwood, Ste. 275, Houston, TX 77024, USA. asadraza@sbcglobal.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Hepatic Veins / ultrasonography* Humans Middle Aged Portal Vein / ultrasonography* Portasystemic Shunt, Transjugular Intrahepatic / methods* Punctures / methods Ultrasonography, Interventional* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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