Transhepatic puncture of portal and hepatic veins for TIPS using a single-needle pass under sonographic guidance

Syed A. Raza, Eric Walser, Alberto Hernandez, Keven Chen, Santiago Marroquin

Research output: Contribution to journalArticle

31 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)248
Number of pages1
JournalAmerican Journal of Roentgenology
Issue number1
StatePublished - Jul 2006
Externally publishedYes



  • Conventional angiography
  • Interventional radiology
  • Liver disease
  • Vascular stents

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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