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

22 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)248
Number of pages1
JournalAmerican Journal of Roentgenology
Volume187
Issue number1
DOIs
StatePublished - Jul 2006
Externally publishedYes

Fingerprint

Transjugular Intrahepatic Portasystemic Shunt
Hepatic Veins
Portal Vein
Punctures
Needles
Surgical Portasystemic Shunt
Metals

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Transhepatic puncture of portal and hepatic veins for TIPS using a single-needle pass under sonographic guidance. / Raza, Syed A.; Walser, Eric; Hernandez, Alberto; Chen, Keven; Marroquin, Santiago.

In: American Journal of Roentgenology, Vol. 187, No. 1, 07.2006, p. 248.

Research output: Contribution to journalArticle

Raza, Syed A. ; Walser, Eric ; Hernandez, Alberto ; Chen, Keven ; Marroquin, Santiago. / Transhepatic puncture of portal and hepatic veins for TIPS using a single-needle pass under sonographic guidance. In: American Journal of Roentgenology. 2006 ; Vol. 187, No. 1. pp. 248.
@article{9826a550fafa466a8ec1880ec1bb9715,
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",
author = "Raza, {Syed A.} and Eric Walser and Alberto Hernandez and Keven Chen and Santiago Marroquin",
year = "2006",
month = "7",
doi = "10.2214/AJR.05.1342",
language = "English (US)",
volume = "187",
pages = "248",
journal = "American Journal of Roentgenology",
issn = "0361-803X",
publisher = "American Roentgen Ray Society",
number = "1",

}

TY - JOUR

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

UR - http://www.scopus.com/inward/record.url?scp=33846193201&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33846193201&partnerID=8YFLogxK

U2 - 10.2214/AJR.05.1342

DO - 10.2214/AJR.05.1342

M3 - Article

C2 - 16794144

AN - SCOPUS:33846193201

VL - 187

SP - 248

JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

SN - 0361-803X

IS - 1

ER -