Fig. 2
Final steps of DIPS creation. A After predilation, the 8-10F sheath is brought in via the inguinal venous access and is placed in the main trunk of portal vein. An angiogram is made to ensure correct positioning. B The “buddy wire” is removed and the balloon-inflatable 8 mm covered stent graft is brought in via the sheath. Care is taken to make sure that the covered parts of the endograft overlap its entrances into the portal vein and IVC. C A catheter is placed in the main trunk of the portal vein after creation of the DIPS tract and an angiogram is made to ensure correct positioning and patency