US-guided paraumbilical vein puncture: an adjunct to transjugular intrahepatic portosystemic shunt (TIPS) placement
Autor: | Albert A. Nemcek, Paul L. Minor, Robert L. Vogelzang, Howard A. Tischler, Frederik Wenz |
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Rok vydání: | 1992 |
Předmět: |
Adult
Male medicine.medical_specialty Umbilical Veins Percutaneous Decompression medicine.medical_treatment Portal venous pressure Portal venous system Portal vein Paraumbilical vein Punctures medicine Humans Portasystemic Shunt Surgical Radiology Nuclear Medicine and imaging Ultrasonography business.industry Portal Vein Hematemesis medicine.disease Portal hypertension Stents Radiology Jugular Veins Cardiology and Cardiovascular Medicine business Transjugular intrahepatic portosystemic shunt |
Zdroj: | Journal of vascular and interventional radiology : JVIR. 3(3) |
ISSN: | 1051-0443 |
Popis: | Transjugular intrahepatic portosystemic stent-shunt placement has shown great promise as a means of portal decompression in patients with severe portal hypertension. Passage of a needle from the hepatic venous system into the portal venous system during this procedure may be technically difficult; while it would be advantageous to precisely target the portal vein, most methods of localization are themselves technically difficult, risky, or time-consuming. The authors describe a method of localization of the portal vein that, when feasible, appears to be both safe and technically simple. This method involves percutaneous catheterization of a paraumbilical portosystemic collateral vein under sonographic guidance. |
Databáze: | OpenAIRE |
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