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Transjugular Intrahepatic Portosystemic Shunt Creation in Budd-Chiari Syndrome: Percutaneous Ultrasound-Guided Direct Simultaneous Puncture of the Portal Vein and Vena Cava

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Abstract

Budd-Chiari syndrome (BCS) is an uncommon disorder that can be life-threatening, depending on the degree of hepatic venous outflow obstruction. Transjugular intrahepatic portosystemic shunt (TIPS) provides decompression of the congested liver but the hepatic vein obstruction makes the procedure more difficult. We describe a modified method that involved a single percutaneous puncture of the portal vein and inferior vena cava simultaneously for TIPS creation in a patient with BCS.

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Authors and Affiliations

  1. Department of Radiology, Baskent University, Faculty of Medicine, Fevzi Cakmak Cad. 10. Sok. No: 45, 06490, Bahcelievler, Ankara, Turkey

    Fatih Boyvat, Cüneyt Aytekin, Ali Harman & Yasemin Özin

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  1. Fatih Boyvat
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  2. Cüneyt Aytekin
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  3. Ali Harman
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  4. Yasemin Özin
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Correspondence to Fatih Boyvat.

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Boyvat, F., Aytekin, C., Harman, A. et al. Transjugular Intrahepatic Portosystemic Shunt Creation in Budd-Chiari Syndrome: Percutaneous Ultrasound-Guided Direct Simultaneous Puncture of the Portal Vein and Vena Cava. Cardiovasc Intervent Radiol 29, 857–861 (2006). https://doi.org/10.1007/s00270-005-0317-4

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