Three-dimensional Image Fusion Guidance for Transjugular Intrahepatic Portosystemic Shunt Placement

Cardiovascular and Interventional Radiology
Vania TacherHicham Kobeiter

Abstract

To assess the safety, feasibility and effectiveness of image fusion guidance with pre-procedural portal phase computed tomography with intraprocedural fluoroscopy for transjugular intrahepatic portosystemic shunt (TIPS) placement. All consecutive cirrhotic patients presenting at our interventional unit for TIPS creation from January 2015 to January 2016 were prospectively enrolled. Procedures were performed under general anesthesia in an interventional suite equipped with flat panel detector, cone-beam computed tomography (CBCT) and image fusion technique. All TIPSs were placed under image fusion guidance. After hepatic vein catheterization, an unenhanced CBCT acquisition was performed and co-registered with the pre-procedural portal phase CT images. A virtual path between hepatic vein and portal branch was made using the virtual needle path trajectory software. Subsequently, the 3D virtual path was overlaid on 2D fluoroscopy for guidance during portal branch cannulation. Safety, feasibility, effectiveness and per-procedural data were evaluated. Sixteen patients (12 males; median age 56 years) were included. Procedures were technically feasible in 15 of the 16 patients (94%). One procedure was aborted due to hepatic vein cathet...Continue Reading

References

Jan 1, 1996·Journal of Vascular and Interventional Radiology : JVIR·C P SembaM D Dake
Mar 5, 2002·Journal of Vascular and Interventional Radiology : JVIR·Steven C RoseTarek I Hassanein
Jun 21, 2003·Journal of Vascular and Interventional Radiology : JVIR·Donald L MillerUNKNOWN RAD-IR study
Aug 7, 2003·Journal of Vascular and Interventional Radiology : JVIR·Donald L MillerJon Anderson
Apr 15, 2006·Journal of Vascular and Interventional Radiology : JVIR·Daniel Y SzeJoan K Frisoli
Jun 24, 2006·AJR. American Journal of Roentgenology·Syed A RazaSantiago Marroquin
Nov 28, 2006·International Journal of Radiation Oncology, Biology, Physics·Judit Boda-HeggemannFrederik Wenz
May 28, 2008·Journal of Vascular and Interventional Radiology : JVIR·Robert C OrthUNKNOWN Technology Assessment Committee of the Society of Interventional Radiology
Nov 21, 2008·AJR. American Journal of Roentgenology·Marco CuraGhazwan Kroma
Nov 11, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Thomas D BoyerUNKNOWN American Association for the Study of Liver Diseases
May 11, 2010·Medical Image Analysis·P MarkeljF Pernuš
Jun 1, 2006·Seminars in Interventional Radiology·Renato RipamontiNilesh H Patel
Feb 24, 2011·AJR. American Journal of Roentgenology·Ron C GabaCharles A Owens
Oct 17, 2012·Cardiovascular and Interventional Radiology·Antonin KrajinaVlastimil Valek
Oct 27, 2012·Journal of Vascular and Interventional Radiology : JVIR·Khashayar FarsadJohn A Kaufman
Jul 3, 2013·Journal of Hepatology·Martin Rössle
Jan 28, 2015·Radiology·Vania TacherJean-François Geschwind
Apr 3, 2015·Cardiovascular and Interventional Radiology·Xuefeng LuoXiao Li
Jul 2, 2015·Cardiovascular and Interventional Radiology·Roberto MiragliaAngelo Luca
Feb 9, 2016·Journal of Vascular and Interventional Radiology : JVIR·Matthew G GipsonRobert K Ryu
Jul 28, 2016·Journal of Vascular and Interventional Radiology : JVIR·Nadine Abi-JaoudehBradford J Wood
Aug 10, 2016·Diagnostic and Interventional Imaging·K RouabahV Vidal

❮ Previous
Next ❯

Citations

Aug 4, 2021·Cardiovascular and Interventional Radiology·Thomas LegerOlivier Sutter

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.