Portal-Systemic Shunt between the Inferior Mesenteric Vein and Inferior Vena Cava in a Patient with Hepatic Encephalopathy : Successful Occlusion by Balloon-Occluded Retrograde Transvenous Obliteration

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タイトル ( eng )
Portal-Systemic Shunt between the Inferior Mesenteric Vein and Inferior Vena Cava in a Patient with Hepatic Encephalopathy : Successful Occlusion by Balloon-Occluded Retrograde Transvenous Obliteration
作成者
Kakizawa Hideaki
Toyota Naoyuki
Hieda Masashi
Ishikawa Masaki
Tanitame Keizo
Okazaki Akihito
Takaki Shintaro
収録物名
Hiroshima Journal of Medical Sciences
60
1
開始ページ 15
終了ページ 19
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
A large shunt between the inferior mesenteric vein (IMV) and the inferior vena cava (IVC) is a rare type of portosystemic shunt in patients with hepatic encephalopathy. We report a patient with hepatic encephalopathy due to a large IMV-IVC shunt who was successfully treated by balloon-occluded retrograde transvenous obliteration. The procedure involved a combination of 11 metallic coils and 5 ml of 5% ethanolamine oleate with iopamidol as the sclerosing agent. After complete obliteration of the shunt, his symptoms disappeared. At 2-years follow-up he was free of clinical symptoms, the size of his liver had slightly increased, and his liver function was preserved.
著者キーワード
BRTO
Hepatic encephalopathy
Portal-systemic shunt
NDC分類
医学 [ 490 ]
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University Medical Press
発行日 2011-03
権利情報
(c) Hiroshima University Medical Press.
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
収録物識別子
[ISSN] 0018-2052
[NCID] AA00664312