Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2024; 16(9): 2870-2877
Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2870
Enhancing transjugular intrahepatic portosystemic shunt procedure efficiency with digital subtraction angiography image overlay technology in esophagogastric variceal bleeding
Xiao-Yan Li, Yao Li, Wen-Qiang Li, Shuai Ju, Zhi-Hui Dong, Jian-Jun Luo
Xiao-Yan Li, Yao Li, Wen-Qiang Li, Shuai Ju, Vascular and Wound Center, Jinshan Hospital, Fudan University, Shanghai 201508, China
Zhi-Hui Dong, Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital Fudan University, Shanghai 200032, China
Jian-Jun Luo, Department of Interventional Radiology, Zhongshan Hospital Fudan University, Shanghai 20032, China
Author contributions: Ju S designed the research study; Ju S, Li Y, Li WQ, and Li XY performed the research; Dong ZH and Luo JJ provided help and advice on the acquisition of data; Ju S analyzed the data; Li XY wrote the draft manuscript; Ju S, Dong ZH, and Luo JJ interpreted the data for the work, revised the manuscript, and approved the final version.
Supported by Jinshan Science and Technology Committee (the data collection for this study was partially funded by the project), No. 2021-3-05.
Institutional review board statement: This study was conducted in accordance with the Declaration of Helsinki and received approval from the Institutional Review Board of Jinshan Hospital, Fudan University (No. JIEC 2023-S52).
Informed consent statement: Informed consent was obtained from each participant, ensuring adherence to ethical standards and relevant guidelines and regulations.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data are available upon request from the corresponding author at jushuai19881003@163.com.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Shuai Ju, MD, Doctor, Vascular and Wound Center, Jinshan Hospital, Fudan University, No. 1508 Longhang Road, Shanghai 201508, China. jushuai19881003@163.com
Received: May 19, 2024
Revised: June 29, 2024
Accepted: July 31, 2024
Published online: September 27, 2024
Processing time: 122 Days and 11.7 Hours
Core Tip

Core Tip: A comparison of procedural metrics between digital subtraction angiography image overlay technology (DIT)-guided and ultrasound-guided transjugular intrahepatic portosystemic shunt (TIPS). Demonstration of significant reductions in puncture time and surgical duration in the DIT-guided group. Improved clinical indicators post-procedure, including reductions in aspartate aminotransferase, B-type natriuretic peptide, and portal vein pressure in both groups, with additional benefits in total bilirubin and alanine aminotransferase levels in the DIT-guided group. Our research addresses a critical need for efficient and safer TIPS procedures in patients with complex hepatic anatomy due to chronic schistosomiasis, which underscores the potential of DIT as a superior guidance technology, providing a foundation for further advancements in interventional radiology techniques.