Novel Image Guidance Techniques for Portal Vein Targeting During Transjugular Intrahepatic Portosystemic Shunt Creation
The most challenging part of transjugular intrahepatic portosystemic shunt creation is arguably the transvenous access from the hepatic vein to the portal vein. As experience and technology have evolved, the image guidance aspect of this critical step in the procedure has become more robust. Improve...
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| Published in | Techniques in vascular and interventional radiology Vol. 19; no. 1; pp. 10 - 20 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.03.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1089-2516 1557-9808 |
| DOI | 10.1053/j.tvir.2016.01.002 |
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| Abstract | The most challenging part of transjugular intrahepatic portosystemic shunt creation is arguably the transvenous access from the hepatic vein to the portal vein. As experience and technology have evolved, the image guidance aspect of this critical step in the procedure has become more robust. Improved means to target the portal vein include both direct and indirect methods of portal vein opacification, cross-sectional imaging for both targeting and access, and novel use of transabdominal and intravascular ultrasound guidance. These techniques are described herein. |
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| AbstractList | The most challenging part of transjugular intrahepatic portosystemic shunt creation is arguably the transvenous access from the hepatic vein to the portal vein. As experience and technology have evolved, the image guidance aspect of this critical step in the procedure has become more robust. Improved means to target the portal vein include both direct and indirect methods of portal vein opacification, cross-sectional imaging for both targeting and access, and novel use of transabdominal and intravascular ultrasound guidance. These techniques are described herein. |
| Author | Kaufman, John A. Farsad, Khashayar |
| Author_xml | – sequence: 1 givenname: Khashayar surname: Farsad fullname: Farsad, Khashayar email: farsad@ohsu.edu, khashayar.farsad@gmail.com – sequence: 2 givenname: John A. surname: Kaufman fullname: Kaufman, John A. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26997085$$D View this record in MEDLINE/PubMed |
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| Keywords | portal vein portography Intravascular ultrasound transjugular intrahepatic portosystemic shunt image guidance |
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| SubjectTerms | Computed Tomography Angiography Fluoroscopy Hematology, Oncology and Palliative Medicine Hepatic Veins - diagnostic imaging Hepatic Veins - surgery Humans image guidance Intravascular ultrasound Magnetic Resonance Angiography Magnetic Resonance Imaging, Interventional Phlebography portal vein Portal Vein - diagnostic imaging Portal Vein - surgery Portasystemic Shunt, Transjugular Intrahepatic - adverse effects Portasystemic Shunt, Transjugular Intrahepatic - methods Portography Radiography, Interventional Radiology transjugular intrahepatic portosystemic shunt Treatment Outcome Ultrasonography, Interventional |
| Title | Novel Image Guidance Techniques for Portal Vein Targeting During Transjugular Intrahepatic Portosystemic Shunt Creation |
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