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CVIR Endovascular
Fig. 2 | CVIR Endovascular

Fig. 2

From: Safety and feasibility of a novel bi-directional portal vein access kit during transjugular intrahepatic portosystemic shunt creation

Fig. 2

A Sample Case of Splenoportogram and TIPS placement. A. Right hepatic vein venogram with Blakemore tube noted in the background (white arrowhead). B. ICE catheter (white arrow) positioned at the level of the main portal vein. Advancement of the needle (white arrowhead) through hepatic vein towards main portal vein. C. Portovenogram through marked pigtail showing hepatopetal flow with multiple esophageal varices. The ICE catheter is positioned at the level of the right main portal vein (white arrow). D. Portovenogram demonstrating successful TIPS stent placement (black arrow) and significant reduction in opacification of the esophageal varices

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