Transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome: A comprehensive review

Figure 2 Access technique. A: Initial inferior vein cava (IVC) venography depicting the origin of the obstructed right hepatic vein (arrowhead); B: Colapinto stylet positioning prior direct puncture of the IVC at the level of the origin of the thrombosed right hepatic vein (arrowhead), just below the diaphragm. Note the tip of the sheath within the right atrium (arrow); C: The Colapinto needle is turned anteriorly, parallel to the spine and access obtained at the main right portal branch; D: Final result after the deployment of 2 stent grafts.