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Fig. 1. 45-year-old female liver transplant recipient who underwent TIPS for
ascites. Portal venogram shows metallic stent (solid arrows) in
inferior vena cava placed previously for caval stenosis at surgical
anastomosis. Puncture is made from transplanted liver right hepatic vein into
right portal vein (open arrow), which is opacified with contrast
material. Wire (arrowheads) was placed percutaneously in portal vein
under sonographic guidance to help guide transhepatic puncture from hepatic
vein.