Technical refinement in transjugular intrahepatic portosystemic shunt for cavernous transformation of the portal vein: role of endoscopic ultrasound–guided navigation (with video) - 16/07/26
, Yuzheng Zhuge, MD 1, ⁎ Abstract |
Background and Aims |
The procedure of transjugular intrahepatic portosystemic shunt (TIPS) for patients with cavernous transformation of the portal vein (CTPV) is difficult and complicated. In this study, we present a strategy to integrate EUS-guided navigation with TIPS.
Methods |
In this preliminary prospective cohort study, patients with liver cirrhosis and CTPV who were indicated for TIPS were consecutively enrolled between April 2023 and February 2025. Before TIPS, EUS-guided portal vein location was performed. The primary outcome was technical success and safety of EUS, and the secondary outcomes included clinical outcomes.
Results |
Ten patients were enrolled with a mean follow-up of 12 months (range, 2-24 months). All patients successfully underwent EUS-guided location and TIPS. No EUS-related adverse event was observed. During the follow-up, no patients experienced recurrent variceal hemorrhage or ascites. Three patients (30%) experienced overt hepatic encephalopathy.
Conclusions |
The EUS-TIPS hybrid approach represents a paradigm shift in CTPV management, merging endoscopic precision with endovascular therapeutics.
Il testo completo di questo articolo è disponibile in PDF.Abbreviations : CTPV, DSA, SMV, SPV, TIPS
Mappa
Vol 104 - N° 2
P. 293-297 - agosto 2026 Ritorno al numero
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