TIPS Creation in Patients with Persistent Left Superior Vena Cava

Chovanec, Vendelín; Krajina, Antonín; Hůlek, Petr; Měšťan, Miroslav; Renc, Ondřej

doi:10.14712/18059694.2016.61

Acta Medica > Archive > 2010, Vol. 53 > Issue 1 > TIPS Creation in Patients with…

Acta Med. 2010, 53: 35-38

https://doi.org/10.14712/18059694.2016.61

TIPS Creation in Patients with Persistent Left Superior Vena Cava

Vendelín Chovanec^a, Antonín Krajina^a, Petr Hůlek^b, Miroslav Měšťan^c, Ondřej Renc^a

^aCharles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, Department of Radiology, Hradec Králové, Czech Republic
^bCharles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, 2nd Department of Internal Medicine, Division of Gastroenterology, Hradec Králové, Czech Republic
^cCharles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, 1st Department of Internal Medicine, Czech Republic

Received November 2, 2009
Accepted December 17, 2009

Transjugular intrahepatic portosystemic shunt is a minimally invasive endovascular procedure that has played an important role in the treatment of acute or repeated variceal bleeding or refractory ascites. The standard venous access route for this procedure is the right jugular vein. Sometimes it is better to use the left jugular vein because of lower probability of life threatening complication or technical failure. In this case reports the authors have described their experience with TIPS creation in two patients with persistent left and absent right superior vena cava and recommend using the left jugular vein as an access route in this rare anatomical variant.