Document Detail

Balloon-occluded retrograde transvenous obliteration (BRTO) for a direct shunt between the inferior mesenteric vein and the inferior vena cava in a patient with hepatic encephalopathy.
MedLine Citation:
PMID:  17296712     Owner:  NLM     Status:  MEDLINE    
A direct shunt between the inferior mesenteric vein and the inferior vena cava was detected in a patient with hepatic encephalopathy. The authors performed balloon-occluded retrograde transvenous obliteration (BRTO) for this shunt. Before the obliteration, the shunt was occluded by using a balloon catheter and it was confirmed that the portal venous flow was redirected to the liver. The encephalopathy disappeared immediately after BRTO. The improvement of the liver function, the disappearance of the shunt, and the increase in the size of the portal vein and liver volume were confirmed at computed tomography performed 5 months after treatment.
Kenji Ibukuro; Toru Sugihara; Rei Tanaka; Hozumi Fukuda; Shoko Abe; Kimiko Tobe; Ryosuke Tateishi; Kazumi Tagawa
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  18     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-13     Completed Date:  2007-03-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  121-5     Citation Subset:  IM    
Department of Radiology, Mitsui Memorial Hospital, Tokyo, Japan.
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MeSH Terms
Arteriovenous Fistula / diagnosis,  therapy*
Balloon Occlusion / methods*
Esophageal and Gastric Varices / diagnosis,  therapy*
Hepatic Encephalopathy / etiology,  therapy
Hepatitis C / complications
Mesenteric Veins / abnormalities*
Vena Cava, Inferior / abnormalities*

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