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22min chapter
Ep. 455 Evolving TIPS Procedures Using New Tools and ICE with Dr. Dylan Suttle and Dr. Harris Chengazi
BackTable Vascular & Interventional
Utilizing Intravascular Ultrasound in TIPS Procedures
The chapter explores the use of intravascular ultrasound (ICE) in Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedures, discussing its benefits in providing precise guidance during the procedure and ensuring successful access to hepatic veins and portal targets. The speakers compare different approaches, tools, and techniques for TIPS procedures, emphasizing the importance of adjusting ICE images as the liver shifts during the procedure and maintaining accurate needle placement. They also touch on strategies for overcoming challenges posed by difficult angles and the use of saline to reduce contrast usage in patients with impaired kidney function.
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