[Technique of transjugular intrahepatic portosystemic shunt: color Doppler US-guided paraumbilical vein puncture method].
The transjugular intrahepatic portosystemic shunt (TIPS) procedure is a percutaneous method for treating patients with symptomatic portal hypertension. One of the major technical difficulties of this procedure is the safe passage of a needle from the hepatic venous system into a major portal venous radical. The color US-guided paraumbilical vein puncture method involves percutaneous catheterization of a paraumbilical portosystemic collateral vein under sonographic guidance. We describe a method for portal venous localization that, while clearly not applicable in all candidates for TIPS, is easily and safely performed and should be considered a routine adjunct to the TIPS procedure when feasible.
Murata
K
K
Department of Radiology, Aichi Medical University.
Vogelzang
R L
RL
D000328:Adult; D000368:Aged; D005260:Female; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D011677:Punctures / Q000379:methods; D018615:Ultrasonography, Doppler, Color; D014471:Umbilical Veins / Q000000981:diagnostic imaging