TIPS creation has been widely used to treat the complications associated with portal hypertension. In association with increased operator experience and the ongoing development of imaging modalities, the rate of major complications associated with TIPS has decreased significantly in the past decades. However, the passage of a curved needle from the hepatic vein into the portal vein still remains a challenging and time-consuming part of the procedure and is associated with puncture-related complications that are potentially fatal.Three-dimensional roadmap guidance has been widely applied in various interventions. The aim of the present study is to prospectively assess the feasibility and efficacy of real-time 3D roadmap guidance during TIPS creation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
TIPS was established using 3d roadmap
conventional TIPS procedure using wedged hepatic venography
West China Hospital
Chengdu, Sichuan, China
Technical success rate
number of patients who have received TIPS creation technically successfully
Time frame: 1 month
number of punctures
number of intrahepatic punctures for TIPS creation
Time frame: 1 month
radiographic fluoroscopy time for portal vein entry
duration of radiographic fluoroscopy for portal vein entry
Time frame: 1 month
radiographic fluoroscopy time for the whole procedure
duration of radiographic fluoroscopy for the whole procedure
Time frame: 1 month
procedural time
procedural time
Time frame: 1 month
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