Gastrointest Interv.
2018 Apr;7(1):9-13. 10.18528/gii180008.
A review of recent experience with transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound
- Affiliations
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- 1Division of Interventional Radiology, Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. EdwardLee@mednet.ucla.edu
- KMID: 2439198
- DOI: http://doi.org/10.18528/gii180008
Abstract
- 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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