000			04021nam a22006137a 4500
008			232233s20232023 xxu||||| |||| 00| 0 eng d
022			_a0174-1551
024			_a10.1007/s00270-023-03528-5 [doi]
024			_a10.1007/s00270-023-03528-5 [pii]
040			_aOvid MEDLINE(R)
099			_a37580424
245			_aSafety and Feasibility of Gun-Sight Technique for Transjugular Intra-hepatic Portosystemic Shunt (TIPS) Creation.
251			_aCardiovascular & Interventional Radiology. 46(9):1238-1248, 2023 Sep.
252			_aCardiovasc Intervent Radiol. 46(9):1238-1248, 2023 Sep.
253			_aCardiovascular and interventional radiology
260			_c2023
260			_fFY2024
260			_p2023 Sep
265			_sppublish
265			_tMEDLINE
266			_d2023-11-22
520			_aCONCLUSION: 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).
520			_aMATERIALS 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.
520			_aPURPOSE: To review technical details, indications for use, success rates and complications of gun-sight technique for transjugular intra-hepatic portosystemic shunt (TIPS) creation.
520			_aRESULTS: 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.
546			_aEnglish
650			_a*Portasystemic Shunt, Transjugular Intrahepatic
650			_a*Thrombosis
650			_a*Venous Thrombosis
650			_aFeasibility Studies
650			_aHumans
650			_aPortal Vein/su [Surgery]
650			_aPortasystemic Shunt, Transjugular Intrahepatic/mt [Methods]
650			_aRetrospective Studies
650			_aThrombosis/co [Complications]
650			_aTreatment Outcome
650			_aVenous Thrombosis/et [Etiology]
650			_zAutomated
651			_aMedStar Washington Hospital Center
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aRadiology
656			_aRadiology/Interventional Integrated Residency Sunhye
656			_aRadiology/Interventional Radiology Independent Fellowshipdo Jake
657			_aJournal Article
657			_aMulticenter Study
700			_aChoi, Tae _bMGUH _cRadiology/Interventional Radiology Independent Fellowship _dMD
700			_aPark, Lauren _bMGUH _cRadiology/Interventional Integrated Residency _dMD
700			_aSabri, Saher Salim _bMWHC
790			_aFrenk NE, Choi TJ, Park LS, Cohen EI, Lynskey GE, Sabri SS
856			_uhttps://dx.doi.org/10.1007/s00270-023-03528-5 _zhttps://dx.doi.org/10.1007/s00270-023-03528-5
858			_yChoi, Taedo Jake _uhttp://orcid.org/0000-0003-1914-7216 _zhttp://orcid.org/0000-0003-1914-7216
858			_yPark, Lauren Sunhye _uhttp://orcid.org/0000-0002-8384-2785 _zhttp://orcid.org/0000-0002-8384-2785
942			_cART _bArticle
999			_c13526 _d13526