Published online Jun 14, 2013. doi: 10.3748/wjg.v19.i22.3528
Revised: April 11, 2013
Accepted: May 7, 2013
Published online: June 14, 2013
Core tip: Transjugular intrahepatic portosystemic shunt (TIPS) for complications of portal hypertension is commonly formed by accessing a portal vein branch from a metal cannula wedged in a hepatic vein. A number of serious procedural complications including bleeding and perforation following TIPS have been described. We feel the adoption of techniques such as ours and that of other authors described in the literature using an ultrasound-guided percutaneous transhepatic approach with a small caliber needle provides a safer and less traumatic procedure and should reduce complications of bleeding and almost completely eliminate the risk of liver laceration.