فهرست نشریات علمی دسترسی آزاد ایران

Background: Puncture from the hepatic vein to the portal vein to create a shunt is the most challenging step in transjugular intrahepatic portosystemic shunt (TIPS) procedure Objectives: To evaluate the feasibility and effectiveness of the hepatic artery guiding technique in TIPS procedure. Results: Technical success was achieved in all patients. Out of 41 patients, simple blind puncture was performed in 11 patients (26.8%), and hepatic artery guiding technique was performed in 30 patients (73.2%). No complications were observed in either group. The mean puncture time among those who underwent hepatic artery guiding technique (26.67 ± 11.46 min) was significantly shorter than the mean puncture time in the simple blind puncture group (38.50 ± 29.69 min) (P = 0.045). There was no statistical significance in total procedure time and radiation dose (P > 0.05). Conclusion: Hepatic artery guiding technique could increase the feasibility of portal vein puncture in TIPS without a significant increase in radiation dose.