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Balloon-occluded retrograde transvenous obliteration for gastric varices via the intercostal vein.
MedLine Citation:
PMID:  22468194     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Gastric varices are usually associated with a gastro-renal (G-R) shunt. However, the gastric varices described in this case report were not associated with a G-R shunt. The inflow vessel was the posterior gastric vein and the outflow vessels were the narrow inferior phrenic vein and the dilated cardio-phrenic vein. First, percutaneous transhepatic obliteration of the posterior gastric vein was performed, but the gastric varices remained patent. Then, micro-balloon catheterization of the subphrenic vein was carried out via the jugular vein, pericardial vein and cardio-phrenic vein, however, micro-balloon-occluded inferior phrenic venography followed by micro-coil embolization of the cardio-phrenic vein revealed no delineation of gastric varices resulting in no further treatment. Thereafter, as a gastro-subphrenic-intercostal vein shunt developed, a micro-balloon catheter was advanced to the gastric varices via the intercostal vein and balloon-occluded retrograde transvenous obliteration (BRTO) was performed resulting in the eradication of gastric varices. BRTO for gastric varices via the intercostal vein has not previously been documented.
Authors:
Hiroki Minamiguchi; Nobuyuki Kawai; Morio Sato; Akira Ikoma; Munehisa Sawa; Tetsuo Sonomura; Shinya Sahara; Kouhei Nakata; Isao Takasaka; Motoki Nakai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of radiology     Volume:  4     ISSN:  1949-8470     ISO Abbreviation:  World J Radiol     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101538184     Medline TA:  World J Radiol     Country:  China    
Other Details:
Languages:  eng     Pagination:  121-5     Citation Subset:  -    
Affiliation:
Hiroki Minamiguchi, Nobuyuki Kawai, Morio Sato, Akira Ikoma, Munehisa Sawa, Tetsuo Sonomura, Shinya Sahara, Kouhei Nakata, Isao Takasaka, Motoki Nakai, Department of Radiology, Wakayama Medical University 811-1 Kimiidera, Wakayama Shi, Wakayama 641-8510, Japan.
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