Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 28, 2015; 21(32): 9623-9629
Published online Aug 28, 2015. doi: 10.3748/wjg.v21.i32.9623
Published online Aug 28, 2015. doi: 10.3748/wjg.v21.i32.9623
Contrast enhanced computed tomography and reconstruction of hepatic vascular system for transjugular intrahepatic portal systemic shunt puncture path planning
Jian-Ping Qin, Shan-Hong Tang, Ming-De Jiang, Hong-Bin Chen, Xin Yao, Wei-Zheng Zeng, Department of Digestion, General Hospital of Chengdu Military Command, Chengdu 610083, Sichuan Province, China
Shan-Hong Tang, Disease Preventive and Control Center, Chengdu Military Command, Chengdu 610000, Sichuan Province, China
Qian-Wen He, Ming Gu, Department of Radiology, General Hospital of Chengdu Military Command, Chengdu 610083, Sichuan Province, China
Author contributions: Qin JP performed the surgical procedures, wrote the paper and analyzed the data; Tang SH collected the data and wrote the paper; Jiang MD provided clinical treatments, analyzed the data and revised the paper; He QW performed the surgical procedures and reconstructed three-dimensional images; Chen HB and Yao X participated in surgical operation and collected the data; Zeng WZ managed the patients, collected the data and revised the paper; Gu M performed the surgical procedures and reconstructed three-dimensional images; Qin JP and Tang SH contributed equally to this work.
Supported by General Hospital of Chengdu Military Command, No. 2013YG-B009.
Institutional review board statement: The study was reviewed and approved by the General Hospital of Chengdu Military Command Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jian-Ping Qin, MD, Department of Digestion, General Hospital of Chengdu Military Command, 273 Rongdu Road, Chengdu 610083, Sichuan Province, China. jianpingqin@yeah.net
Telephone: +86-28-86570705
Received: February 11, 2015
Peer-review started: February 11, 2015
First decision: March 26, 2015
Revised: April 20, 2015
Accepted: June 9, 2015
Article in press: June 10, 2015
Published online: August 28, 2015
Peer-review started: February 11, 2015
First decision: March 26, 2015
Revised: April 20, 2015
Accepted: June 9, 2015
Article in press: June 10, 2015
Published online: August 28, 2015
Core Tip
Core tip: Precise planning of puncture path is crucial for safe and effective transjugular intrahepatic portal systemic shunt (TIPS) placement. We have developed and applied an approach that combines contrast-enhanced computed tomography and reconstruction of hepatic vascular system in TIPS placement. Our retrospective study with 490 patients over a period of seven years shows that the improved TIPS procedure was successful in 98.6% of the patients, indicating that this method is safe, simple and effective for clinical use.