[Technical and methodologic considerations on a new approach to the transjugular intrahepatic portosystemic shunt]. / Considerazioni tecnico-metodologiche su un nuovo approccio alla derivazione porto-sistemica per via transgiugulare (TIPS).
Radiol Med
; 85(5): 653-6, 1993 May.
Article
em It
| MEDLINE
| ID: mdl-8327769
ABSTRACT
The authors report their experience with 10 transjugular intrahepatic portosystemic shunts (TIPS) in nine patients with severe portal hypertension; indications were rebleeding after sclerosing treatment in 8 cases and unmanageable ascitis in one case. The passage of the needle from the hepatic venous system into the portal venous system during the procedure may be technically difficult with both skin markers and US guidance, and several passages through liver parenchyma may be needed this step is certainly the most critical one, for maneuver duration--and therefore risks--depend on it. Thus, in the last 6 patients a new method was used to easily identify portal bifurcation a thin stainless platinum-tip guide-wire (0.018-inch diameter) was inserted, by epigastric approach under US guidance, through a fine Chiba needle (22 G) in the left main portal branch, dramatically reducing the number of failed punctures and maneuver duration. Both the above goals are to be reached to make TIPS easier and therefore advantage both patients and interventional radiologists.
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Base de dados:
MEDLINE
Assunto principal:
Derivação Portossistêmica Cirúrgica
/
Hipertensão Portal
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
It
Ano de publicação:
1993
Tipo de documento:
Article