{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T13:17:14Z","timestamp":1770902234705,"version":"3.50.1"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"1158","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To conduct a meta-analysis to assess the efficacy of intravascular ultrasound (IVUS) during transjugular intrahepatic portosystemic shunt (TIPS) creation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>MEDLINE and Embase databases were queried until July 2022 for comparative studies reporting procedure metrics for TIPS creation with or without IVUS guidance. Meta-analysis was performed with random-effects modelling for total procedural time, time to portal venous access, fluoroscopy time, iodinated contrast volume use, air kerma, dose area product, and number of needle passes. Intraoperative procedure-related complications were also reviewed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 95 unique records initially identified, 6 were eligible for inclusion. A total of 194 and 240 patients underwent TIPS with and without IVUS guidance. Pooled analyses indicated that IVUS guidance was associated with reduced total procedure time (SMD \u22120.76 [95% CI \u22121.02, \u22120.50] P\u2009&amp;lt;\u2009.001), time to portal venous access (SMD \u22120.41 [95% CI \u22120.67, \u22120.15] P\u2009=\u2009.002), fluoroscopy time (SMD, \u22120.54 [95% CI \u22121.02, \u22120.07]; P\u2009=\u2009.002), contrast volume use (SMD, \u22120.89 [95% CI \u22121.16, \u22120.63]; P\u2009&amp;lt;\u2009.001), air kerma (SMD, \u22120.75 [95% CI \u22121.11, \u22120.38]; P\u2009&amp;lt;\u2009.001) and dose area product (SMD, \u22120.98 [95% CI \u22121.77, \u22120.20]; P\u2009=\u2009.013). A total of 4.2 and 7.8 needle passes were required in the IVUS and non-IVUS group, respectively (SMD, \u22120.60 [95% CI \u22121.42, 0.21]; P\u2009=\u2009.134). Pooled complication rates were 15.2% (12\/79) and 21.4% (28\/131), respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>IVUS guidance during TIPS creation improves procedural metrics including procedural time, contrast usage, and radiation exposure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in Knowledge<\/jats:title>\n                  <jats:p>(1) The use of IVUS during TIPS is associated with shorter procedural time, lower contrast usage, and radiation exposure. (2)The use of IVUS is not associated with higher complication rates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjr\/tqae074","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T21:14:25Z","timestamp":1712610865000},"page":"1112-1117","source":"Crossref","is-referenced-by-count":4,"title":["Meta-analysis of transjugular intrahepatic portosystemic shunt creation with or without intravascular ultrasound guidance"],"prefix":"10.1093","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9774-9226","authenticated-orcid":false,"given":"Qian","family":"Yu","sequence":"first","affiliation":[{"name":"Vascular and Interventional Radiology, Department of Radiology, University of Chicago Medical Center, University of Chicago , Chicago, IL 60637, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Vascular and Interventional Radiology, Department of Radiology, University of Chicago Medical Center, University of Chicago , Chicago, IL 60637, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subhash","family":"Gutti","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, The George Washington University , Washington, DC, 20007, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Iyer","sequence":"additional","affiliation":[{"name":"School of Medicine and Health Sciences, The George Washington University , Washington, DC, 20007, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Kwak","sequence":"additional","affiliation":[{"name":"Vascular and Interventional Radiology, Department of Radiology, University of Chicago Medical Center, University of Chicago , Chicago, IL 60637, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Samaduddin","family":"Ahmed","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine, Midwestern University Chicago , Chicago, IL, 60515, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Said","sequence":"additional","affiliation":[{"name":"University of Illinois at Urbana-Champaign , Champaign, IL, 61820, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J Fritz","family":"Angle","sequence":"additional","affiliation":[{"name":"Vascular and Interventional Radiology, University of Virginia Health System , Charlottesville, VA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakesh","family":"Navuluri","sequence":"additional","affiliation":[{"name":"Vascular and Interventional Radiology, Department of Radiology, University of Chicago Medical Center, University of Chicago , Chicago, IL 60637, United 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