Technical challenges in TIPS creation via the right subclavian vein

Sohail G Contractor; Alex Merkulov; Pranay C Uppuluri; Waseem Bhatti; Tej Phatak

doi:10.1016/j.jvir.2008.09.001

Technical challenges in TIPS creation via the right subclavian vein

J Vasc Interv Radiol. 2008 Dec;19(12):1777-80. doi: 10.1016/j.jvir.2008.09.001. Epub 2008 Oct 31.

Authors

Sohail G Contractor¹, Alex Merkulov, Pranay C Uppuluri, Waseem Bhatti, Tej Phatak

Affiliation

¹ Department of Radiology, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, H108, University Hospital, 150 Bergen Street, Newark, NJ 07101, USA.

PMID: 18951043
DOI: 10.1016/j.jvir.2008.09.001

Abstract

This report describes a 64-year-old man with Laennec cirrhosis requiring a transjugular intrahepatic portosystemic shunt (TIPS) to alleviate ascites before surgical mesh repair of a large symptomatic umbilical hernia. During the procedure, both internal jugular veins and the right external jugular vein were found to be occluded. The right subclavian vein was accessed and a TIPS was successfully created. Some of the technical challenges encountered in performing the procedure from the right subclavian vein are described.

Publication types

Case Reports

MeSH terms

Ascites / etiology
Ascites / surgery*
Hernia, Umbilical / complications
Hernia, Umbilical / surgery
Humans
Jugular Veins* / diagnostic imaging
Jugular Veins* / physiopathology
Liver Cirrhosis / complications
Liver Cirrhosis / diagnostic imaging
Liver Cirrhosis / surgery*
Male
Middle Aged
Phlebography
Portasystemic Shunt, Transjugular Intrahepatic*
Subclavian Vein / diagnostic imaging
Subclavian Vein / physiopathology
Subclavian Vein / surgery*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency