Transjugular intrahepatic portosystemic shunt creation in a polycystic liver facilitated by hybrid cross-sectional/angiographic imaging.
Polycystic liver disease (PCLD) has long been considered to represent a contraindication to transjugular intrahepatic portosystemic shunt (TIPS) creation, primarily because of the risk of hemorrhage. Three-dimensional (3D) navigation within the enlarged and potentially disorienting parenchyma can now be performed during the procedure with the development of C-arm cone-beam computed tomography, which relies on the same equipment already used for angiography. Such a hybrid 3D reconstruction-enabled angiography system was used for safe image guidance of a TIPS procedure in a patient with PCLD. This technology has the potential to expedite any image-guided procedure that requires 3D navigation.
Sze
Daniel Y
DY
Department of Radiology, Stanford University Medical Center, H-3646, Stanford, California 94305-5642, USA. dansze@stanford.edu
Strobel
Norbert
N
Fahrig
Rebecca
R
Moore
Teri
T
Busque
Stephan
S
Frisoli
Joan K
JK
D000792:Angiography; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D053783:Magnetic Resonance Imaging, Interventional; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed