Direct Intrahepatic Portocaval Shunt

Bryan Petersen, Timothy W I Clark

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

The direct intrahepatic portacaval shunt (DIPS) is a modification of the TIPS procedure, using intravascular ultrasound-guidance, combined with fluoroscopy. The DIPS procedure was initially conceived to increase the durability of shunt patency and extend the spectrum of patients with portal hypertension for whom endovascular portocaval shunting can be performed. The DIPS procedure involves intravascular ultrasound-guided puncture from the inferior vena cava to the portal vein through the caudate lobe of the liver. The shunt is completed with a polytetrafluoroethylene-covered stent graft. This article describes the indications, technique, and outcomes of the DIPS procedure to enable the interventional radiologist currently experienced with TIPS to incorporate this procedure into their practice.

Original languageEnglish (US)
Pages (from-to)230-234
Number of pages5
JournalTechniques in Vascular and Interventional Radiology
Volume11
Issue number4
DOIs
StatePublished - Dec 2008

Fingerprint

Surgical Portacaval Shunt
Endovascular Procedures
Fluoroscopy
Polytetrafluoroethylene
Inferior Vena Cava
Portal Hypertension
Portal Vein
Punctures
Stents
Transplants
Liver

Keywords

  • endovascular stent-graft
  • intravascular ultrasound
  • IVUS
  • portacaval
  • portal hypertension
  • shunts

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Direct Intrahepatic Portocaval Shunt. / Petersen, Bryan; Clark, Timothy W I.

In: Techniques in Vascular and Interventional Radiology, Vol. 11, No. 4, 12.2008, p. 230-234.

Research output: Contribution to journalArticle

Petersen, Bryan ; Clark, Timothy W I. / Direct Intrahepatic Portocaval Shunt. In: Techniques in Vascular and Interventional Radiology. 2008 ; Vol. 11, No. 4. pp. 230-234.
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