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

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 19, 2025 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Needle Size for TIPS Procedure

  • The needle size used for a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure is a 21-gauge long PTC needle, as reported in a study published in 1994 1.
  • This study introduced a new coaxial needle system, hepatic artery targeting wire, and biplane fluoroscopy to increase safety and efficacy of the TIPS procedure.
  • The use of a 21-gauge needle allowed for the successful performance of TIPS in seven patients with postnecrotic cirrhosis without technical difficulties or complications.

Comparison with Other Procedures

  • Other studies have compared the use of different needle sizes for various medical procedures, such as liver core-needle biopsy 2, ultrasound-guided biopsy for peripheral pulmonary lesions 3, and needle gauge and tip designs for preventing post-dural puncture headache (PDPH) 4.
  • However, these studies do not provide direct evidence for the needle size used in TIPS procedures.
  • A study on outpatient kidney biopsies found that an 18-gauge needle may lower the risk of complications and obtain adequate tissue 5, but this is not directly relevant to TIPS procedures.

References

4
Research

Needle gauge and tip designs for preventing post-dural puncture headache (PDPH).

The Cochrane database of systematic reviews, 2017

Related Questions

What is the recommended needle size for a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure?
What needle size is used for TIPS (Transjugular Intrahepatic Portosystemic Shunt) procedure?
What is the needle size for Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure?
Is it still recommended to remain flat on bed for 6 hours post-spinal (post-lumbar puncture) to prevent post-dural puncture headache (PDPH)?
What are the safety and long-term effects of Glucagon-like peptide-1 (GLP-1) receptor agonist medications on patients with type 2 diabetes?
What are the safety and long-term effects of Glucagon-like peptide-1 (GLP-1) receptor agonist medications on patients with type 2 diabetes?
What are the treatment options for pediatric patients with necrotizing fasciitis who have a penicillin (Penicillin) allergy?
What is Tympanoplasty (middle ear surgery to repair the tympanic membrane)?
What is the recommended needle size for Trigger Point (TP) injection?
What is the treatment for tympanic membrane (eardrum) perforation in a 4-year-old child?

Professional Medical Disclaimer

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.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.

Ask Question