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

doi:10.2214/AJR.05.1342

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 journal › Article › peer-review

35 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	248
Number of pages	1
Journal	American Journal of Roentgenology
Volume	187
Issue number	1
DOIs	https://doi.org/10.2214/AJR.05.1342
State	Published - Jul 2006
Externally published	Yes

Keywords

Conventional angiography
Interventional radiology
Liver disease
Vascular stents

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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

abstract = "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.",

keywords = "Conventional angiography, Interventional radiology, Liver disease, Vascular stents",

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T1 - Transhepatic puncture of portal and hepatic veins for TIPS using a single-needle pass under sonographic guidance

AU - Raza, Syed A.

AU - Walser, Eric

AU - Hernandez, Alberto

AU - Chen, Keven

AU - Marroquin, Santiago

PY - 2006/7

Y1 - 2006/7

N2 - 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.

AB - 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.

KW - Conventional angiography

KW - Interventional radiology

KW - Liver disease

KW - Vascular stents

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

Abstract

Keywords

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