TIPS Placement via Combined Transjugular and Transhepatic Approach for Cavernous Portal Vein Occlusion: Targeted Approach
Figure 3
62-year-old man with portal vein thrombosis with cavernous transformation. Sequential digital subtraction images following traversal of the main portal vein occlusion from the transhepatic approach. An angioplasty balloon is inflated within the occluded main portal vein (a). The Rosch-Uchida needle from the transjugular approach is used to puncture the balloon (b). An angled Glidewire is passed through the Rosch-Uchida needle into the portal system (c).
