Transjugular Intrahepatic Portosystemic Shunt Creation Using a Three-Dimensional Fluoroscopy Guidance System in Patients with the Budd-Chiari Syndrome
| Autor: | Cathryn J. Shaw, Marco Cura, Bruce M. Bell, Chet R. Rees |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment General Medicine medicine.disease Inferior vena cava 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Case Studies 0302 clinical medicine medicine.anatomical_structure medicine.vein 030220 oncology & carcinogenesis Budd–Chiari syndrome Medicine Fluoroscopy In patient Radiology Three dimensional fluoroscopy business Vein Guidance system Transjugular intrahepatic portosystemic shunt |
| Zdroj: | Baylor University Medical Center Proceedings. 28:484-487 |
| ISSN: | 1525-3252 0899-8280 |
| DOI: | 10.1080/08998280.2015.11929316 |
| Popis: | When performed for Budd-Chiari syndrome (BCS), transjugular intrahepatic portosystemic shunt (TIPS) creation can be technically difficult due to hepatic congestion and asymmetric hypertrophy. We present three female patients with decompensated BCS in whom TIPS were created using a three-dimensional fluoroscopy guidance system. On a dedicated workstation using three-dimensional volumes of computed tomography imaging, a virtual needle path was created by the operator extending from the needle entry point (hepatic vein stump or inferior vena cava) to the target portal vein. Subsequently, the virtual needle path was overlaid on the fluoroscopy image for guidance of portal venous cannulation. This technology can be used for TIPS procedures in patients with BCS and other complex TIPS cases, as it may help delimit the trajectory of the needle pass and optimally result in more efficient procedures with decreased radiation dose. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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