TY  - BOOK
AU  - Choi, Tae
AU  - Park, Lauren
AU  - Sabri, Saher Salim
TI  - Safety and Feasibility of Gun-Sight Technique for Transjugular Intra-hepatic Portosystemic Shunt (TIPS) Creation
SN  - 0174-1551
PY  - 2023///
KW  - *Portasystemic Shunt, Transjugular Intrahepatic
KW  - *Thrombosis
KW  - *Venous Thrombosis
KW  - Feasibility Studies
KW  - Humans
KW  - Portal Vein/su [Surgery]
KW  - Portasystemic Shunt, Transjugular Intrahepatic/mt [Methods]
KW  - Retrospective Studies
KW  - Thrombosis/co [Complications]
KW  - Treatment Outcome
KW  - Venous Thrombosis/et [Etiology]
KW  - Automated
KW  - MedStar Washington Hospital Center
KW  - MedStar Georgetown University Hospital/MedStar Washington Hospital Center
KW  - Radiology
KW  - Radiology/Interventional Integrated Residency Sunhye
KW  - Radiology/Interventional Radiology Independent Fellowshipdo Jake
KW  - Journal Article
KW  - Multicenter Study
N2  - CONCLUSION: Gun-sight technique for TIPS creation has a high success rate in this challenging cohort of patients. While complications can occur, most of the adverse events noted were likely associated with TIPS creation itself rather than gun-sight. Early thrombosis only occurred in patients with PVT. Level of Evidence Level 4, Case Series. Copyright © 2023. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); MATERIALS AND METHODS: A multicenter retrospective review was performed. Forty-two TIPS procedures with gun-sight technique were identified between 2016 and 2021. Eighty-six percent of patients had portal vein thrombosis (PVT), and 21% had undergone prior failed TIPS creation. Demographics, procedure details and outcomes were reviewed. Differences between the groups, event rates and patency rates were evaluated using nonparametric two-sample Wilcoxon rank-sum (Mann-Whitney) test, Fisher's exact test, Kaplan-Meier curves, and log-rank test; PURPOSE: To review technical details, indications for use, success rates and complications of gun-sight technique for transjugular intra-hepatic portosystemic shunt (TIPS) creation; RESULTS: Technical success was 98%. Sixty-seven percent of subjects had transsplenic and 26% had transhepatic access for TIPS creation. Twenty-one adverse events were noted (48%), four of which were definitely related and four were probably related to the use of gun-sight technique. Early (within 90 days) thrombosis occurred in 7/41 patients (17%), all of whom had existing PVT
UR  - https://dx.doi.org/10.1007/s00270-023-03528-5
ER  -