ArticleWorld journal of gastroenterology2015
Contrast enhanced computed tomography and reconstruction of hepatic vascular system for transjugular intrahepatic portal systemic shunt puncture path planning.
Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 17 citations in OpenAlex.
- Effect of laparoscopic anatomical hepatectomy for hepatocellular carcinoma based on individualized three-dimensional reconstruction model of portal vein region.World journal of surgical oncology · 2026Article
- A novel intravascular navigational ultrasound system for transjugular intrahepatic portosystemic shunt procedures.CVIR endovascular · 2025Article
- Clinical significance of contrast extravasation on computed tomography immediately after thermal ablation for hepatic tumors.BMC gastroenterology · 2025Article
- Investigation of bending angle algorithm and path planning for puncture needles in transjugular intrahepatic portosystemic shunt.Biomedical engineering online · 2025Article
- Influence of different portal vein branches on hepatic encephalopathy during intrahepatic portal shuntWorld journal of gastroenterology · 2022Article
- Portal vein puncture-related complications during transjugular intrahepatic portosystemic shunt creation: Colapinto needle set vs Rösch-Uchida needle set.La Radiologia medica · 2021Review
- Clinical efficacy of antiviral therapy in patients with hepatitis B-related cirrhosis after transjugular intrahepatic portosystemic shunt.World journal of gastroenterology · 2021Article
- Effects of transjugular intrahepatic portosystemic shunt using the Viatorr stent on hepatic reserve function in patients with cirrhosis.World journal of clinical cases · 2021Article
- [Clinical study of transjugular intrahepatic portosystemic shunt with Viatorr stent in 43 cases].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021Article
- Portosystemic shunt surgery in the era of TIPS: imaging-based planning of the surgical approach.Abdominal radiology (New York) · 2020Article
- Radiation exposure during transjugular intrahepatic portosystemic shunt creation in patients with complete portal vein thrombosis or portal cavernoma.La Radiologia medica · 2020Article
- Consensus recommendations of three-dimensional visualization for diagnosis and management of liver diseases.Hepatology international · 2020Article
- Method for Calculating the Bending Angle of Puncture Needle in Preoperative Planning for Transjugular Intrahepatic Portal Systemic Shunt (TIPS).Computational and mathematical methods in medicine · 2018Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo describe a method for the transjugular intrahepatic portal systemic shunt (TIPS) placement performed with the aid of contrast-enhanced computed tomography (CECT) and three-dimensional reconstructed vascular images (3D RVIs), and to assess its safety and effectiveness.
methodsFour hundred and ninety patients were treated with TIPS between January 2005 and December 2012. All patients underwent liver CECT and reconstruction of 3D RVIs of the right hepatic vein to portal vein (PV) prior to the operation. The 3D RVIs were carefully reviewed to plan the puncture path from the start to target points for needle pass through the PV in the TIPS procedure.
resultsThe improved TIPS procedure was successful in 483 (98.6%) of the 490 patients. The number of punctures attempted was one in 294 (60%) patients, 2 to 3 in 147 (30%) patients, 4 to 6 in 25 (5.1%) patients and more than 6 in 17 (3.5%) patients. Seven patients failed. Of the 490 patients, 12 had punctures into the artery, 15 into the bile duct, eight into the gallbladder, and 18 through the liver capsule. Analysis of the portograms from the 483 successful cases indicated that the puncture points were all located distally to the PV bifurcation on anteroposterior images, while the points were located proximally to the bifurcation in the three cases with intraabdominal bleeding. The complications included three cases of bleeding, of whom one died and two needed surgery.
conclusionUse of CECT and 3D RVIs to plan the puncture path for TIPS procedure is safe, simple and effective for clinical use.
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