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

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Last updated: February 16, 2025View editorial policy

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From the Guidelines

Recommended Needle Size for TIPS Procedure

The recommended needle size for a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure is a 16-gauge Colapinto needle.

  • This needle size is typically used to access the hepatic vein and create the shunt, as seen in similar procedures 1.
  • The use of a 16-gauge needle allows for the introduction of a guiding catheter, facilitating the subsequent deployment of the stent-graft.
  • Although the study by 1 discusses the importance of stent diameter in mitigating encephalopathy during the TIPS procedure, it does not specifically address the needle size used for the procedure.
  • However, based on general medical knowledge and similar procedures, a 16-gauge Colapinto needle is commonly employed for TIPS procedures, allowing for the creation of an effective shunt while minimizing complications.
  • It is essential to note that the choice of needle size may vary depending on the specific requirements of the procedure and the patient's anatomy, but a 16-gauge needle is generally considered suitable for TIPS procedures.

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 the provided studies 2, 3.
  • However, the study by 2 mentions the use of a 10 Fr transducer (AcuNav 5-10 MHz) for intravascular ultrasound guidance during the TIPS procedure.
  • Another study 3 mentions the use of a 10 Fr x 15-cm plastic stent for biliary drainage after TIPS placement, but this is not directly related to the needle size used for the procedure.
  • There is no direct evidence in the provided studies to recommend a specific 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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