Coil-assisted retrograde transvenous obliteration of gastric varices by an inverted catheter tip technique via the pericardiophrenic vein.

BRTO CARTO Gastric varices Portal hypertension Transvenous obliteration

Journal

Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 24 09 2022
revised: 30 09 2022
accepted: 03 10 2022
entrez: 7 11 2022
pubmed: 8 11 2022
medline: 8 11 2022
Statut: epublish

Résumé

A 70-year-old woman with liver cirrhosis was admitted to our hospital for treatment of growing gastric varices in the fundus. Computed tomography showed gastric varices continuously draining the pericardiophrenic vein via the inferior phrenic vein. Balloon-occluded retrograde transvenous obliteration by a transjugular approach was planned. However, a conventional balloon catheter or microballoon catheter could not be inserted into the efferent vein near the varices because of the narrowness and tortuosity of the vein. Hence, coil-assisted retrograde transvenous obliteration was performed by an inverted catheter tip technique using a single conventional microcatheter. This technique might be useful for cases in which it is difficult to insert a balloon catheter into the efferent vein.

Identifiants

DOI: 10.1016/j.radcr.2022.10.003 PMID: 36340230 PMC: PMC9633575
pubmed: 36340230
doi: 10.1016/j.radcr.2022.10.003
pii: S1930-0433(22)00880-9
pmc: PMC9633575
doi:

Types de publication

Case Reports

Langues

eng

Pagination

200-204

Informations de copyright

© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

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Auteurs

Kazuo Asano (K)

Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan.
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka City University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan.

Atsushi Jogo (A)

Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan.

Yukimasa Sakai (Y)

Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan.

Akira Yamamoto (A)

Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan.

Shinsaku Yata (S)

Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 86 Nishicho, Yonago, Tottori 683-8503, Japan.

Toshio Kaminou (T)

Advanced Imaging & Minimally Invasive Therapy Center, Tsukazaki Hospital, 68-1 Aboshikuwaku, Himeji, Hyogo 671-1227, Japan.

Sami Okahashi (S)

Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan.

Mariko Nakano (M)

Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan.

Mineyoshi Nango (M)

Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan.

Ken Kageyama (K)

Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan.

Etsuji Sohgawa (E)

Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan.

Yukio Miki (Y)

Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan.

Classifications MeSH