title: Transjugular intrahepatic portosystemic shunt creation in Budd-Chiari syndrome: percutaneous ultrasound-guided direct simultaneous puncture of the portal vein and vena cava.
abstract: 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.
authors.affiliation: Department of Radiology, Baskent University, Faculty of Medicine, Fevzi Cakmak Cad. 10. Sok. No: 45, 06490, Bahcelievler, Ankara, Turkey. boyvatf@yahoo.com
authors.forename: Fatih
authors.initials: F
authors.lastname: Boyvat
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Aytekin
authors.forename: Ali
authors.initials: A
authors.lastname: Harman
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Ozin
mesh_terms: 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*