title: A double-wire technique for transjugular intrahepatic portosystemic shunt through a transabdominal-transjugular portosystemic approach.
abstract: OBJECTIVE
  The purpose of this article is to describe a double-wire technique for transjugular intrahepatic portosystemic shunt (TIPS) procedures in which a transabdominal-transjugular portosystemic route is created that allows placement of a safety wire and a working wire. The safety wire provides a backup for the loss of the portosystemic tract and straightens the transjugular portosystemic route through a two-hand technique to facilitate shunt creation.
  
  
  CONCLUSIONS
  Potential advantages of this technique include a precise and expeditious procedure for pediatric patients and those with small and hard liver or with focal lesions.
authors.affiliation: Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong. simonyu@cuhk.edu.hk
authors.forename: Simon C H
authors.initials: SC
authors.lastname: Yu
mesh_terms: D001807:Blood Vessel Prosthesis; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000295:instrumentation* / Q000379:methods*; D019919:Prosthesis Implantation / Q000295:instrumentation / Q000379:methods