A review of recent experience with transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound

Author: Steven D KAO ¹ ; Edward Wolfgang LEE
Author Information

1. Division of Interventional Radiology, Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. EdwardLee@mednet.ucla.edu
Publication Type:Review
Keywords: Hypertension, potal; Intravascular ultrasound; Transjugular intrahepatic portosystemic shunt
MeSH: Portal Vein; Portasystemic Shunt, Surgical; Ultrasonography
From:Gastrointestinal Intervention 2018;7(1):9-13
CountryRepublic of Korea
Language:English
Abstract: Portal vein access has historically been the most technically challenging step in the creation of transjugular intrahepatic portosystemic shunts (TIPSs). The use of intravascular ultrasound (IVUS) for guidance of portal vein access during TIPS creation has garnered much interest in recent years. Recent literature has suggested potential improvements in procedural metrics that may result from use of IVUS for TIPS. This review aims to provide historical context, detail technical advances and describe recent clinical experience with the use of IVUS for TIPS creation.