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ID 34989
file
creator
Kakizawa, Hideaki
Toyota, Naoyuki
Hieda, Masashi
Ishikawa, Masaki
Tanitame, Keizo
Okazaki, Akihito
Takaki, Shintaro
subject
BRTO
Hepatic encephalopathy
Portal-systemic shunt
NDC
Medical sciences
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.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 60
issue
Issue 1
start page
15
end page
19
date of issued
2011-03
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
(c) Hiroshima University Medical Press.
department
Graduate School of Biomedical Science
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