{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:33:41Z","timestamp":1787502821770,"version":"build-2736575974"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin intervent Radiol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Transjugular portosystemic shunt (TIPS) placement is a widely accepted method for reducing portal pressures in conditions including symptomatic varices, refractory ascites, hepatic hydrothorax, portomesenteric thrombosis, and Budd-Chiari syndrome. The traditional method for performing TIPS involves \u201cblind\u201d access into a portal vein branch from a hepatic vein, typically right portal vein to right hepatic vein, using preoperative imaging and intraoperative wedged portography for guidance. However, standard access technique may not always be feasible due to occluded portal or hepatic veins, distorted anatomy, or prior TIPS. In this article we discuss alternative techniques for accessing the portal vein for TIPS placement when standard methods are not sufficient.<\/jats:p>","DOI":"10.1055\/s-0043-1767688","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T18:35:16Z","timestamp":1683225316000},"page":"079-086","source":"Crossref","is-referenced-by-count":7,"title":["Advanced Techniques for Accessing the Portal Vein during Transjugular Intrahepatic Portosystemic Shunt Creation"],"prefix":"10.1055","volume":"40","author":[{"given":"Ishan","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daryl T.","family":"Goldman","sequence":"additional","affiliation":[{"name":"Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul S.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis S.","family":"Nowakowski","sequence":"additional","affiliation":[{"name":"Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S1051-0443(07)61817-X","article-title":"Quality improvement guidelines for transjugular intrahepatic portosystemic shunts","volume":"12","author":"Z J Haskal","year":"2001","journal-title":"J Vasc Interv 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