Technical Challenges in TIPS Creation via the Right Subclavian Vein

Sohail G. Contractor, Alex Merkulov, Pranay C. Uppuluri, Waseem Bhatti, Tej Phatak

Research output: Contribution to journalArticlepeer-review


This report describes a 64-year-old man with Laennec cirrhosis requiring a transjugular intrahepatic portosystemic shunt (TIPS) to alleviate ascites before surgical mesh repair of a large symptomatic umbilical hernia. During the procedure, both internal jugular veins and the right external jugular vein were found to be occluded. The right subclavian vein was accessed and a TIPS was successfully created. Some of the technical challenges encountered in performing the procedure from the right subclavian vein are described.

Original languageEnglish (US)
Pages (from-to)1777-1780
Number of pages4
JournalJournal of Vascular and Interventional Radiology
Issue number12
StatePublished - Dec 2008

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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