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

被引:19
作者
Ibukuro, Kenji
Sugihara, Toru
Tanaka, Rei
Fukuda, Hozumi
Abe, Shoko
Tobe, Kimiko
Tateishi, Ryosuke
Tagawa, Kazumi
机构
[1] Mitsui Mem Hosp, Dept Radiol, Chiyoda Ku, Tokyo 1018643, Japan
[2] Mitsui Mem Hosp, Dept Internal Med, Chiyoda Ku, Tokyo 1018643, Japan
[3] Mitsui Mem Hosp, Dept Gastroenterol, Chiyoda Ku, Tokyo 1018643, Japan
关键词
D O I
10.1016/j.jvir.2006.10.002
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
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.
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页码:121 / 125
页数:5
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