US-guided Paraumbilical Vein Puncture: An Adjunct to Transjugular Intrahepatic Portosystemic Shunt (TIPS) Placement

Frederik Wenz, Albert A. Nemcek*, Howard A. Tischler, Paul L. Minor, Robert L. Vogelzang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

Transjugular intrahepatic portosystemic stent-shunt placement has shown great promise as a means of portal decompression in patients with severe portal hypertension. Passage of a needle from the hepatic venous system into the portal venous system during this procedure may be technically difficult; while it would be advantageous to precisely target the portal vein, most methods of localization are themselves technically difficult, risky, or time-consuming. The authors describe a method of localization of the portal vein that, when feasible, appears to be both safe and technically simple. This method involves percutaneous catheterization of a paraumbilical portosystemic collateral vein under sonographic guidance.

Original languageEnglish (US)
Pages (from-to)549-551
Number of pages3
JournalJournal of Vascular and Interventional Radiology
Volume3
Issue number3
DOIs
StatePublished - 1992

Keywords

  • Hypertension, portal, 957.711
  • Liver, cirrhosis, 761.794
  • Shunt, portosystemic, 959.453
  • Veins, umbilical, 959.1298

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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