title: Transjugular intrahepatic portosystemic shunt creation in a polycystic liver facilitated by hybrid cross-sectional/angiographic imaging.
abstract: 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.
authors.affiliation: Department of Radiology, Stanford University Medical Center, H-3646, Stanford, California 94305-5642, USA. dansze@stanford.edu
authors.forename: Daniel Y
authors.initials: DY
authors.lastname: Sze
authors.forename: Norbert
authors.initials: N
authors.lastname: Strobel
authors.forename: Rebecca
authors.initials: R
authors.lastname: Fahrig
authors.forename: Teri
authors.initials: T
authors.lastname: Moore
authors.forename: Stephan
authors.initials: S
authors.lastname: Busque
authors.forename: Joan K
authors.initials: JK
authors.lastname: Frisoli
mesh_terms: 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