Published March 2001
| Version v1
Journal article
CT-Guided Transfemoral Portocaval Shunt Creation
- 1. Department of Radiology, University of Washington School of Medicine, 1959 NE Pacific Street, Seattle, WA 98195 (United States)
- 2. Department of Medicine, Division of Gastroenterology and Hepatology, University of Washington School of Medicine, 1959 NE Pacific Street, Seattle, WA 98195 (United States)
Description
A patient with superior vena cava (SVC) occlusion presented with severe ascites and urgent transjugular intrahepatic portosystemic shunt (TIPS) was requested. The patient had a chronically occluded SVC. An alternative to classic TIPS was employed using CT guidance to traverse the left portal vein to the inferior vena cava with a small gauge needle. Fluoroscopic guidance was then used to snare a wire placed through the needle and then work from the femoral vein to create a portocaval shunt that passed through the caudate lobe. This procedure was a technical success and improved the patient's ascites
Additional details
Identifiers
Publishing Information
- Journal Title
- Cardiovascular and Interventional Radiology
- Journal Volume
- 24
- Journal Issue
- 2
- Journal Page Range
- p. 106
- ISSN
- 0174-1551
- CODEN
- CAIRDG
INIS
- Country of Publication
- United States
- Country of Input or Organization
- International Atomic Energy Agency (IAEA)
- INIS RN
- 39095282
- Subject category
- S62: RADIOLOGY AND NUCLEAR MEDICINE;
- Descriptors DEI
- ASCITES; BIOMEDICAL RADIOGRAPHY; BYPASSES; PATIENTS; VASCULAR DISEASES; VEINS
- Descriptors DEC
- BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DISEASES; MEDICINE; NUCLEAR MEDICINE; ORGANS; PATHOLOGICAL CHANGES; RADIOLOGY; SYMPTOMS
Optional Information
- Copyright
- Copyright (c) 2001 Springer-Verlag New York Inc.