Portosystemic shunt surgery in the era of TIPS: imaging-based planning of the surgical approach.

ABSTRACT:

Purpose

With the spread of transjugular intrahepatic portosystemic shunts (TIPS), portosystemic shunt surgery (PSSS) has decreased and leaves more complex patients with great demands for accurate preoperative planning. The aim was to evaluate the role of imaging for predicting the most suitable PSSS approach.

Material and methods

Forty-four patients who underwent PSSS (2002 to 2013) were examined by contrast-enhanced CT (n = 33) and/or MRI (n = 15) prior to surgery. Imaging was analyzed independently by two observers (O1 and O2) with different levels of experience (O1 > O2). They recommended two shunting techniques (vessels and anastomotic variant) for each patient and ranked them according to their appropriateness and complexity. Findings were compared with the actually per

SUBMITTER: Fehrenbach U 

PROVIDER: S-EPMC8197708 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature