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
Hiroshima Journal of Medical Sciences Volume 60 Issue 1
Page 15-19
published_at 2011-03
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Title ( 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
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Creator |
Kakizawa Hideaki
Toyota Naoyuki
Hieda Masashi
Ishikawa Masaki
Tanitame Keizo
Okazaki Akihito
Takaki Shintaro
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Source Title |
Hiroshima Journal of Medical Sciences
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Volume | 60 |
Issue | 1 |
Start Page | 15 |
End Page | 19 |
Journal Identifire |
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
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Abstract |
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.
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Keywords |
BRTO
Hepatic encephalopathy
Portal-systemic shunt
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NDC |
Medical sciences [ 490 ]
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Language |
eng
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Resource Type | departmental bulletin paper |
Publisher |
Hiroshima University Medical Press
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Date of Issued | 2011-03 |
Rights |
(c) Hiroshima University Medical Press.
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Publish Type | Version of Record |
Access Rights | open access |
Source Identifier |
[ISSN] 0018-2052
[NCID] AA00664312
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