ArticleEuropean radiology2016
Three-dimensional C-arm CT-guided transjugular intrahepatic portosystemic shunt placement: Feasibility, technical success and procedural time.
Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- A Meta-analysis on Interventional Metrics of Transjugular Intrahepatic Portosystemic Shunt Placement With Cone-beam Computed Tomography Guidance and Fluoroscopy Guidance.In vivo (Athens, Greece)Pooled it
- Transjugular intrahepatic portosystemic shunt creation: three-dimensional roadmap versus COEuropean radiology · 2018Trial
- CBCT-based three-dimensional dual-phase vascular image fusion: a novel technique for interventional real-time TIPS guidance.Radiologie (Heidelberg, Germany) · 2024Article
- Enhancing Cone-Beam CT Image Quality in TIPSS Procedures Using AI Denoising.Diagnostics (Basel, Switzerland) · 2024Article
- Preoperative simulation results and intraoperative image fusion guidance for transjugular intrahepatic portosystemic shunt placement: a feasibility study of nineteen patients.Diagnostic and interventional radiology (Ankara, Turkey) · 2024Article
- Advanced portal venous access techniques for transjugular intrahepatic portosystemic shunt placement.BMJ open gastroenterology · 2021Review
- Use of Virtual Target Fluoroscopic Display of Three-Dimensional COCardiovascular and interventional radiology · 2021Article
- Transjugular intrahepatic portosystemic shunt placement: portal vein puncture guided by 3D/2D image registration of contrast-enhanced multi-detector computed tomography and fluoroscopy.Abdominal radiology (New York) · 2020Article
- Transjugular intrahepatic portosystemic shunt in cirrhosis: An exhaustive critical update.World journal of gastroenterology · 2020Review
- Radiation doses to operators performing transjugular intrahepatic portosystemic shunt using a flat-panel detector-based system and ultrasound guidance for portal vein targeting.European radiology · 2017Observational
- Utility of cone-beam computed tomography in the assessment of the porto-spleno-mesenteric venous system.Cardiovascular diagnosis and therapy · 2016Review
Corrections and comments
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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
objectivesEstablishment of transjugular intrahepatic portosystemic shunts (TIPS) constitutes a standard procedure in patients suffering from portal hypertension. The most difficult step in TIPS placement is blind puncture of the portal vein. This study aimed to evaluate three-dimensional mapping of portal vein branches and targeted puncture of the portal vein.
methodsTwelve consecutive patients suffering from refractory ascites by liver cirrhosis were included in this retrospective study to evaluate feasibility, technical success and procedural time of C-arm CT-targeted puncture of the portal vein. As a control, 22 patients receiving TIPS placement with fluoroscopy-guided blind puncture were included to compare procedural time.
resultsTechnical success could be obtained in 100 % of the study group (targeted puncture) and in 95.5 % of the control group (blind puncture). Appropriate, three-dimensional C-arm CT-guided mapping of the portal vein branches could be achieved in all patients. The median number of punctures in the C-arm CT-guided study group was 2 ± 1.3 punctures. Procedural time was significantly lower in the study group (14.8 ± 8.2 min) compared to the control group (32.6 ± 22.7 min) (p = 0.02).
conclusionsC-arm CT-guided portal vein mapping is technically feasible and a promising tool for TIPS placement resulting in a significant reduction of procedural time. KEY POINTS: • C-arm CT-mapping of the portal vein for 3D TIPS guidance is feasible. • Targeted punctures of the portal vein by C-arm CT reduce procedural time. • A decreased number of punctures could improve patient safety.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.