Document Detail

Percutaneous Access via the Recanalized Paraumbilical Vein for Varix Embolization in Seven Patients.
MedLine Citation:
PMID:  25246824     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To evaluate the feasibility of percutaneous access via the recanalized paraumbilical vein for varix embolization.
MATERIALS AND METHODS: Between July 2008 and Jan 2014, percutaneous access via the recanalized paraumbilical vein for varix embolization was attempted in seven patients with variceal bleeding. Paraumbilical vein puncture was performed under ultrasonographic guidance, followed by introduction of a 5-Fr sheath. We retrospectively evaluated the technical feasibility, procedure-related complications, and clinical outcomes of each patient.
RESULTS: Recanalized paraumbilical vein catheterization was performed successfully in all patients. Gastroesophageal varix embolization was performed in six patients, and umbilical varix embolization was performed in one patient. Embolic materials used are N-butyl cyanoacrylate (n = 6) and coil with N-butyl cyanoacrylate (n = 1). There were no procedure-related complications. One patient underwent repeated variceal embolization 6 hours after initial procedure via recanalized paraumbilical vein, due to rebleeding from gastric varix.
CONCLUSION: Percutaneous access via the paraumbilical vein for varix embolization is a simple alternative in patients with portal hypertension.
Yeon Jin Cho; Hyo-Cheol Kim; Young Whan Kim; Saebeom Hur; Hwan Jun Jae; Jin Wook Chung
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Publication Detail:
Type:  Journal Article     Date:  2014-09-12
Journal Detail:
Title:  Korean journal of radiology : official journal of the Korean Radiological Society     Volume:  15     ISSN:  2005-8330     ISO Abbreviation:  Korean J Radiol     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-09-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100956096     Medline TA:  Korean J Radiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  630-6     Citation Subset:  IM    
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