| Percutaneous transhepatic obliteration for isolated gastric varices with gastropericardiac shunt: case report. | |
| | |
MedLine Citation:
|
PMID: 16245014 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Management of isolated gastric varices with a gastropericardiac shunt (GPS) has not yet been established. We were able to control a case of isolated gastric varices with a GPS by percutaneous transhepatic obliteration (PTO) using a microcatheter. In this case, the main blood drainage route was not a gastrorenal shunt, so transvenous retrograde obliteration could not be performed and PTO using the microcatheter was applied. Percutaneous transhepatic splenic venography revealed that the gastric varices came from the posterior gastric vein and the main drainage route was a GPS. Gastric varices and their blood supply were superselectively embolized using platinum microcoils and absolute ethanol. Portal venous pressure did not change after PTO because the route from the left gastric vein to the azygos venous system was preserved. Computed tomography 7 days after PTO revealed that the gastric varices were completely obliterated by the thrombi. Plasma ammonia level, arterial ketone body ratio, and indocyanine green retention rate at 15 min were improved. We conclude that PTO using a microcatheter is a rational, effective, and safe therapy for isolated gastric varices with a GPS. |
| | |
Authors:
|
F Chikamori; N Kuniyoshi; T Kawashima; S Shibuya; Y Takase |
Related Documents
:
|
424604 - Systemic venous blood return via the portal vein. 2669464 - Identification of a patent paraumbilical vein by using doppler sonography: importance i... 10456704 - Surgical technique for inferior mesenteric vein to renal vein shunt in portal hypertens... 2550044 - In vivo microscopy of the liver after injection of lipiodol into the hepatic artery and... 23462064 - Quantification and reduction of reflux during embolotherapy using an antireflux cathete... 23420354 - Ct predictors of post-procedural aortic regurgitation in patients referred for transcat... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Abdominal imaging Volume: 31 ISSN: 0942-8925 ISO Abbreviation: Abdom Imaging Publication Date: 2006 Mar-Apr |
Date Detail:
|
Created Date: 2006-03-30 Completed Date: 2006-09-28 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9303672 Medline TA: Abdom Imaging Country: United States |
Other Details:
|
Languages: eng Pagination: 249-52 Citation Subset: IM |
Affiliation:
|
Tsukuba Portal Hypertension Study Group, Kuniyoshi Hospital, 1-3-4 Kamimachi, Kochi City, Kochi 780-0901, Japan. chikamor@i-kocki.or.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Azygos Vein / radiography Catheterization Embolization, Therapeutic / adverse effects, methods* Esophageal and Gastric Varices / radiography, therapy* Ethanol / therapeutic use Female Humans Portal System / radiography Solvents / therapeutic use Splenic Vein / radiography Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
|
0/Solvents; 64-17-5/Ethanol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Duodenal adenoma with production of massive mucus: report of a case with emphasis on US findings.
Next Document: Fulminant infection with emphysematous changes in the biliary tract and air-filled liver abscesses.