What size needle is used for a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure?

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From the Guidelines

Needle Size for TIPS Procedure

A 21-gauge or 22-gauge needle, such as a Colapinto or a Rosch-Uchida needle, is typically used for the initial hepatic vein access in a TIPS procedure 1.

  • The choice of needle size may depend on the patient's anatomy and the operator's preference.
  • A coaxial system is often used to minimize the risk of complications.
  • The use of a 10-Fr or 11-Fr introducer sheath with a 10-mm or 12-mm diameter balloon catheter is also common in TIPS procedures.
  • It is essential to consider the patient's specific needs and the operator's experience when selecting the needle size and other equipment for the procedure 1.
  • The introduction of expandable metal stents, such as the 10 mm Palmaz stents, has improved the long-term patency of TIPS procedures 1.

References

1
Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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