Evidence map›Paper›PMID 40501469›Full record

ArticleWorld journal of hepatology2025

Transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound

Matthew L Hung, Abhishek Jairam, Matthew Carr, Zachary T Berman, Michael Taddonio, Jeet Minocha, Hamed Aryafar, Jeffrey I Mondschein, Michael C Soulen, Gregory J Nadolski and 1 more

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Article in World journal of hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Matthew L HungDepartment of Radiology, Stanford University School of Medicine, Stanford, CA 94305, United States. mlhung@stanford.edu.
Abhishek JairamDepartment of Radiology, University of California San Diego Medical Center, San Diego, CA 92037, United States.
Matthew CarrDepartment of Radiology, University of California Los Angeles, Los Angeles, CA 90095, United States.
Zachary T BermanDepartment of Radiology, University of California San Diego Medical Center, San Diego, CA 92037, United States.
Michael TaddonioDepartment of Radiology, University of California San Diego Medical Center, San Diego, CA 92037, United States.
Jeet MinochaDepartment of Radiology, University of California San Diego Medical Center, San Diego, CA 92037, United States.
Hamed AryafarDepartment of Radiology, Sharp Memorial Hospital, San Diego, CA 92123, United States.
Jeffrey I MondscheinDepartment of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, United States.
Michael C SoulenDepartment of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, United States.
Gregory J NadolskiDepartment of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, United States.
Jonas RedmondDepartment of Radiology, University of California San Diego Medical Center, San Diego, CA 92037, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of intravascular ultrasound (iUS) has been shown in multiple single-center retrospective studies to decrease procedure time, radiation exposure, and needle passes compared to conventional fluoroscopic guidance in the creation of a transjugular intrahepatic portosystemic shunt (TIPS). However, there are few data regarding the impact of imaging guidance modality choice on clinical outcomes.

aimTo determine the impact of iUS

methodsThe retrospective study cohort consisted of 66 patients who underwent TIPS creation using iUS ["iUS-guided TIPS (iTIPS) group"] and 135 patients who underwent TIPS creation using fluoroscopic guidance ["conventional fluoroscopic-guided TIPS (cTIPS) group"] at 2 tertiary academic medical centers from 2015-2019. TIPS that required variceal embolization or portal vein recanalization were excluded.

resultsThe technical success rate was 100% in the iTIPS group and 96% in the cTIPS group (

conclusionThe use of iUS in the creation of TIPS reduces radiation exposure and procedure time compared with fluoroscopic guidance. At midterm follow-up, the imaging guidance modality did not affect shunt patency or mortality.

Indexed as

Intravascular ultrasoundPortal hypertensionRadiationShunt patencyTransjugular intrahepatic portosystemic shunt

Identifiers

PMID40501469
PMCPMC12149909

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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.