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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1806940
Short Communication

Transabdominal Ultrasound-Guided Transjugular Intrahepatic Portosystemic Shunt Placement between Left Hepatic Vein and Left Portal Vein: A Technical Note

Rajesh Sasidharan 
1   Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, India
,
Shubham Suryavanshi
1   Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, India
,
Akhil Baby
1   Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, India
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Abstract

The conventional approach for transjugular intrahepatic portosystemic shunt (TIPS) involves creating a communication between the right hepatic vein and the right branch of the portal vein. However, some studies suggest that TIPS placement between the left hepatic vein and the left portal vein branch may reduce the risk of hepatic encephalopathy. This left-to-left TIPS technique can also be beneficial for patients with an attenuated or thrombosed right portal vein, an atrophied right lobe, or those who have undergone a right hepatectomy or liver transplant with a left lobe graft. Here, we present our technique for performing left-to-left TIPS using transabdominal ultrasound guidance.

Keywords

streamline - encephalopathy - stent


Publication History

Article published online:
28 March 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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