Enhancing Transjugular Intrahepatic Portosystemic Shunt Puncture by Using Three-dimensional Path Planning Based on the Back Projection of Two Two-dimensional Portographs
Enhancing Transjugular Intrahepatic Portosystemic Shunt Puncture by Using Three-dimensional Path Planning Based on the Back Projection of Two Two-dimensional Portographs
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DOI：
10.1148/radiol.2512080423
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发表时间：
2009-05-01
期刊：
影响因子：
19.7
通讯作者：
Loose, Reinhard W. R.
中科院分区：
文献类型：
--
作者：
Adamus, Ralf;Pfister, Marcus;Loose, Reinhard W. R.
本研究的目的是通过使用三维（3D）路径规划来预防经颈静脉肝内门体分流（TIPS）穿刺失败。本研究获得了机构审查委员会的批准;获得了TIPS手术的知情同意书。在4例患者中，根据在0度和右前斜30度投影处获得的两个二维（2D）CO（2）门静脉造影片规划3D路径。该路径覆盖在实时荧光透视上，以引导穿刺图像。4例患者中有3例在首次尝试时进入靶血管。在1例门静脉（PV）狭窄患者中，第三次通过时进入PV。该方法具有提高手术安全性和减少干预时间的高潜力。
The purpose of this study was to prevent transjugular intrahepatic portosystemic shunt (TIPS) puncture failure by using three-dimensional (3D) path planning. This study was approved by the institutional review board; informed consent was obtained for the TIPS procedure. In four patients, a 3D path was planned from two two-dimensional (2D) CO(2) portograms obtained at projections of 0 degrees and right anterior oblique 30 degrees. This path was overlaid onto the live fluoroscopy to guide the puncture image. In three of four patients, the target vessel was entered in the first attempt. In one patient with portal vein (PV) stenosis, the PV was entered with the third pass. This method has high potential to improve safety of the procedure and to reduce intervention time.