Clinical utility of intravascular ultrasound guided portal vein access during transjugular intrahepatic portosystemic shunt (TIPS) creation: comparison with conventional technique

Iyamu, I.; Anene, Alvin; Reddick, Mark A; Anderson, Matthew E.; Kalva, Sanjeeva P.; Pillai, Anil K.

doi:10.1016/j.jvir.2014.12.255

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2018

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“…The third paper described the largest case series of IVUS guided TIPS to date, with 55 IVUS and 54 conventional TIPS. 21 Cases were performed using the Haskal Transjugular Portal Access set which includes a 16 gauge Ross modified Colapinto needle. Overall, there was decreased radiation dose and portal access time, defined as the time from hepatic venogram to portal venogram, associated with IVUS guidance.…”

Section: Current Literaturementioning

confidence: 99%

A review of recent experience with transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound

Kao

Lee

2018

Int J Gastrointest Interv

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Portal vein access has historically been the most technically challenging step in the creation of transjugular intrahepatic portosystemic shunts (TIPSs). The use of intravascular ultrasound (IVUS) for guidance of portal vein access during TIPS creation has garnered much interest in recent years. Recent literature has suggested potential improvements in procedural metrics that may result from use of IVUS for TIPS. This review aims to provide historical context, detail technical advances and describe recent clinical experience with the use of IVUS for TIPS creation.

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Section: Current Literaturementioning

confidence: 99%