Use of an Intrahepatic Arterial Targeting Wire for Guiding Portal Vein Puncture During TIPS Creation in Patients With Obliterative Portal Vein Thrombosis.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 35416058.
- Also identified by DOI 10.2214/AJR.22.27675.
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Abstract
Obtaining portal vein access is a challenging step in TIPS creation, particularly in patients with portal vein thrombosis (PVT). We report the use of an intrahepatic arterial targeting wire to provide a target for portal vein puncture in 20 patients with cirrhosis and complete obliterative PVT who underwent TIPS placement. Technical success rate of TIPS placement was 90% (18/20). The median number of punctures was three. No severe complication occurred.
Medical subject headings
- Portasystemic Shunt, Transjugular Intrahepatic
- Venous Thrombosis