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

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Last updated: February 15, 2025View editorial policy

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From the Research

Needle Size for TIPS Procedure

The recommended needle size for a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure is not explicitly stated in most of the provided studies. However, some studies provide information on the equipment used during the procedure:

  • A 19-gauge FNA needle was used to puncture the hepatic vein and portal vein in a study on EUS-guided creation of an intrahepatic portosystemic shunt 1.
  • A 0.035-inch guidewire was advanced through the needle into the portal vein lumen in the same study 1.
  • A 0.035-inch RF wire was used in lieu of the trocar needle through the 5-F TIPS set catheter to create a track between the hepatic vein and the portal vein in a study on TIPS creation using a radiofrequency wire 2.

Key Points

  • The choice of needle size may depend on the specific technique and equipment used during the TIPS procedure.
  • The studies provided do not offer a comprehensive comparison of different needle sizes for the TIPS procedure.
  • Further research may be necessary to determine the optimal needle size for the TIPS procedure.

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.

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