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portal vein
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In this image the beginning of the portal vein is shown, formed by the splenic vein and the SMV (the IMV empties into the splenic vein in this example).

The TIPS (transjugular intrahepatic portosystemic shunt) procedure can be used to relieve portal hypertension by creating a direct passageway in the liver from the portal vein to a hepatic vein. A tube is inserted into the right internal jugular vein --> right brachiocephalic vein --> SVC --> right atrium --> IVC --> hepatic vein --> substance of liver --> through branch of portal vein. This procedure is favorable for patients eligible for liver transplant because it does not leave behind abdominal adhesions.
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