Transhepatic puncture of portal and hepatic veins for TIPS using a single-needle pass under sonographic guidance.
AJR Am J Roentgenol
; 187(1): W87-91, 2006 Jul.
Article
em En
| MEDLINE
| ID: mdl-16794144
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.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Veia Porta
/
Ultrassonografia de Intervenção
/
Derivação Portossistêmica Transjugular Intra-Hepática
/
Veias Hepáticas
Tipo de estudo:
Clinical_trials
/
Guideline
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article