{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:18:49Z","timestamp":1786979929436,"version":"build-2736575974"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cardiovasc Intervent Radiol"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the feasibility, safety and effectiveness of portal vein recanalization (PVR)\u2013transjugular portosystemic shunt (TIPS) placement via splenic access using a balloon puncture technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>In a single-center retrospective study from March 2017 to February 2021, 14 consecutive patients with portal hypertension, chronic liver disease and portal vein occlusion or near-complete (&gt;\u200995%) occlusion were referred for PVR\u2013TIPS placement.\u00a0Feasibility, safety and effectiveness including procedural characteristics such as\u00a0technical success, complication profile and splenic access time (SAT), balloon positioning time (BPT), conventional portal vein entry time (CPVET), overall procedure time (OPT), fluoroscopy time (FT), dose\u2013area product (DAP) and air kerma (AK) were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Transsplenic PVR\u2013TIPS using balloon puncture technique was technically feasible in 12 of 14 patients (8 men, 49\u2009\u00b1\u200913\u00a0years). In two patients without detectable intrahepatic portal vein branches, TIPS placement was not feasible and both patients were referred for further treatment with nonselective beta blockers and endoscopic variceal ligation. No complications grade\u2009&gt;\u20093 of the Cardiovascular and Interventional Radiological Society of Europe classification system occurred. The SAT was 25\u2009\u00b1\u200921\u00a0min, CPVET was 33\u2009\u00b1\u200926\u00a0min, the OPT was 158\u2009\u00b1\u200954\u00a0min, the FT was 42\u2009\u00b1\u200922\u00a0min, the DAP was 167.84\u2009\u00b1\u2009129.23\u00a0Gy*cm\n                      <jats:sup>2<\/jats:sup>\n                      and the AK was 1150.70\u2009\u00b1\u2009910.73\u00a0mGy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Transsplenic PVR\u2013TIPS using a balloon puncture technique is feasible and appears to be safe in our series of patients with obliteration of the portal vein. It expands the interventional options in patients with chronic PVT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00270-021-03054-2","type":"journal-article","created":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T16:25:26Z","timestamp":1641918326000},"page":"696-702","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement in Patients with Portal Vein Obliteration for Portal Vein Recanalization: Feasibility, Safety and Effectiveness"],"prefix":"10.1007","volume":"45","author":[{"given":"T. C.","family":"Meine","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. S.","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. L. 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The remaining authors declare no relationships with any companies whose products or services may be related to the subject matter of the article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.\u00a0For this type of study, formal consent is not required.\u00a0This article does not contain any studies with animals performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Consent for publication was obtained for every individual person\u2019s data included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}