The transjugular intrahepatic portosystemic shunt (TIPS) procedure is a percutaneous method for treating patients with symptomatic portal hypertension. One of the major technical difficulties of this procedure is the safe passage of a needle from the hepatic venous system into a major portal venous radical. The color US-guided paraumbilical vein puncture method involves percutaneous catheterization of a paraumbilical portosystemic collateral vein under sonographic guidance. We describe a method for portal venous localization that, while clearly not applicable in all candidates for TIPS, is easily and safely performed and should be considered a routine adjunct to the TIPS procedure when feasible.
|Original language||English (US)|
|Number of pages||3|
|Journal||Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica|
|State||Published - Aug 25 1994|
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