Adopting wedge hepatic venography with CO2 during transjugular intrahepatic portosystemic shunt procedures
10.3760/cma.j.issn.1005-1201.2012.05.018
- VernacularTitle:经颈静脉楔入法肝静脉CO2造影术在经颈静脉肝内门体分流术中的应用
- Author:
Linpeng ZHANG
;
Songtao CHEN
;
Xiulan SHI
;
Minling YANG
;
Li ZHANG
;
Jia HU
;
Ling JIA
;
Zhigang SUN
;
Guoling YANG
;
Yujie LI
;
Weijian PEI
- Publication Type:Journal Article
- Keywords:
Portosystemic shunt,transjugular intrahepatic;
Portography;
Contrast media;
Carbon dioxide;
Comparative study
- From:
Chinese Journal of Radiology
2012;46(5):456-458
- CountryChina
- Language:Chinese
-
Abstract:
Objective To renovate angiography in identifying portal vein anatomy during transjugular intrahepatic portosystemic shunt (TIPS) procedures,saving the time of TIPS procedures,decreasing the risk of the complications of the post-procedure.MethodsThe difference between the Wedge hepatic venography with Carbon Dioxide in 6 cases and Inferior Mesenteric artery angiography in 7 cases during TIPS procedures were compared in the identification of portal vein anatomy.The quality of images,their effects on the procedures,the complications and the recovery post-procedure were evaluated.Results Using CO2,the portal veins were opacified in all 6 cases.TIPS procedures succeeded in all cases except 1 case because of poor coagulation function.Using Inferior Mesenteric artery angiography,the portal veins were opacified in al1 7 cases.TIPS procedure succeeded in all cases except 1 case because of chronic portal occlusion.Puncture-site hematoma occurred in 1 case after TIPS procedure.ConclusionWedge hepatic venography with Carbon Dioxide is superior,safer and more convenient than Inferior Mesenteric Artery angiography in identifying portal vein anatomy during TIPS.
