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Reducing risk of transjugular intrahepatic portosystemic shunt using ultrasound guided single needle pass

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posted on 2013-06-01, 00:00 authored by S Leong, Terry Kok, P Govender, W Torreggiani
Delayed liver laceration following transjugular intrahepatic portosystemic shunt (TIPS) is a serious and likely underdiagnosed complication. It is however an important complication following TIPS, which remains one of the most technically challenging interventional procedures performed. In addition to laceration, a number of complications regarding bleeding and perforation are well described following TIPS procedures. We feel the adoption of techniques such as ours and that of other authors described in the literature using an ultrasoundguided percutaneous transhepatic approach with a small caliber needle provides a safer and less traumatic procedure and should reduce complications of bleeding and almost completely eliminate the risk of liver laceration. Our procedure was successfully performed under conscious sedation rather than general anaesthesia further reducing the overall procedural risk to the patient. © 2013 Baishideng. All rights reserved.

History

Journal

World Journal of Gastroenterology

Volume

19

Issue

22

Pagination

3528 - 3530

Publisher

Baishideng Publishing Group Co.

Location

Beijing, China

ISSN

1007-9327

eISSN

2219-2840

Publication classification

C2 Other contribution to refereed journal

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