Cardiovasc Intervent Radiol (2018) 41:1035–1042 https://doi.org/10.1007/s00270-018-1877-4 CLINICAL INVESTIGATION VENOUS INTERVENTIONS Clinical Experience with Real-Time 3-D Guidance Based on C-Arm-Acquired Cone-Beam CT (CBCT) in Transjugular Intrahepatic Portosystemic Stent Shunt (TIPSS) Placement 1 1 2 1 • • • • Georg Bo ¨ ning Willie M. Lu ¨ demann Julius Chapiro Martin Jonczyk 1 1 1 1 • • • Bernd Hamm Rolf W. Gu ¨ nther Bernhard Gebauer Florian Streitparth Received: 3 October 2017 / Accepted: 8 January 2018 / Published online: 14 March 2018 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018 Abstract Results The median number of puncture attempts (CBCT: Purpose The aim of this study was to evaluate the feasi- n = 2, US: n = 4, p = 0.249) and the mean puncture time bility of cone-beam computed tomography (CBCT)-based (CBCT: 32 ± 45 min, US: 36 ± 45 min, p = 0.515) were real-time 3-D guidance of TIPSS placement and its posi- not signiﬁcantly different. There were furthermore no tioning compared to standard guiding methods. signiﬁcant differences in the mean time needed for the total Materials and Methods In a prospective, randomized, TIPSS procedure
CardioVascular and Interventional Radiology – Springer Journals
Published: Mar 14, 2018
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