Transjugular intrahepatic portosystemic shunt creation in Budd-Chiari syndrome: percutaneous ultrasound-guided direct simultaneous puncture of the portal vein and vena cava.
Budd-Chiari syndrome (BCS) is an uncommon disorder that can be life-threatening, depending on the degree of hepatic venous outflow obstruction. Transjugular intrahepatic portosystemic shunt (TIPS) provides decompression of the congested liver but the hepatic vein obstruction makes the procedure more difficult. We describe a modified method that involved a single percutaneous puncture of the portal vein and inferior vena cava simultaneously for TIPS creation in a patient with BCS.
Boyvat
Fatih
F
Department of Radiology, Baskent University, Faculty of Medicine, Fevzi Cakmak Cad. 10. Sok. No: 45, 06490, Bahcelievler, Ankara, Turkey. boyvatf@yahoo.com
Aytekin
Cüneyt
C
Harman
Ali
A
Ozin
Yasemin
Y
D000328:Adult; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011677:Punctures / Q000379:methods; D018084:Ultrasonography, Interventional; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*