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Updated: May 31, 2026

Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
Published on: May 7, 2015
A double-wire technique for transjugular intrahepatic portosystemic shunt through a transabdominal-transjugular
1Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong. simonyu@cuhk.edu.hk
Objective:
The purpose of this article is to describe a double-wire technique for transjugular intrahepatic portosystemic shunt (TIPS) procedures in which a transabdominal-transjugular portosystemic route is created that allows placement of a safety wire and a working wire. The safety wire provides a backup for the loss of the portosystemic tract and straightens the transjugular portosystemic route through a two-hand technique to facilitate shunt creation.
Conclusion:
Potential advantages of this technique include a precise and expeditious procedure for pediatric patients and those with small and hard liver or with focal lesions.

