Successful coil embolization in an infant with congenital intrahepatic portosystemic shunts

Ikeda, Shinji; Sera, Yoshihisa; Yoshida, Morikatsu; Izaki, Toshiya; Uchino, Shigehiko; Endo, Fumio; Ohmuraya, Masaki; Beppu, Teruhiko

doi:10.1016/s0022-3468(99)90785-6

Cited by 20 publications

(21 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Type I malformations is associated with congenital anomalies, especially cardiac, gastrointestinal, and genitourinary anomalies, as well as an increased risk of hepatocellular carcinoma (14). Type I is managed by liver transplant, whereas Type II shunt can be occluded either surgically or percutaneously using balloons or coils (14), in patients presenting with hepatic encephalopathy or bleeding varices (19)(20)(21). Once case report by Kuo described a staged treatment of a type II Abernethy by stent closing the Abernethy shunt while simultaneously creating a TIPS shunt.…”

Section: Pulmonary Venous Drainage Into Ivcmentioning

confidence: 99%

Congenital anomalies of the IVC—embryological perspective and clinical relevance

Ghandour¹,

Partovi²,

Karuppasamy³

et al. 2016

Cardiovasc. Diagn. Ther.

View full text Add to dashboard Cite

With the increased use of cross-sectional imaging, systemic venous anomalies are more frequently being recognized in asymptomatic patients. Accurate characterization of systemic venous anomalies plays a major role in the appropriate selection of a surgical approach or interventional procedure.In this article, we review common and uncommon inferior vena cava (IVC) anomalies. We describe the embryological basis and clinical implications of these anomalies, particularly from an interventional radiology perspective. We also discuss the complications and treatments of these anomalies.

show abstract

Section: Pulmonary Venous Drainage Into Ivcmentioning

confidence: 99%

Congenital anomalies of the IVC—embryological perspective and clinical relevance

Ghandour¹,

Partovi²,

Karuppasamy³

et al. 2016

Cardiovasc. Diagn. Ther.

View full text Add to dashboard Cite

show abstract

“…Even with this procedure, the time required was 131 and 235 minutes. Embolization with coils also has been reported as another less invasive method [2,8]. However, it has been considered technically difficult to achieve shunt occlusion with coils when the shunt is large and blood flow in the shunt is very rapid because conventional coils have several limitations.…”

Section: Discussionmentioning

confidence: 99%

Successful embolization using interlocking detachable coils for a congenital extrahepatic portosystemic venous shunt in a child

Yamagami

Yoshimatsu

Matsumoto

et al. 2007

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…Egawa et al 8 reported that when liver transplantation was performed for patients with a moderate intrapulmonary shunt, the shunt ratio decreased and resolved within a few months. Some patients with a shunt size of less than 5 mm have been successfully treated by interventional embolization, 9,10 whereas others have been treated by constricting the PDV by surgical banding without complete occlusion. 11,12 If the PDV does not close eventually after banding, reoperation is required for complete ligation.…”

Section: Discussionmentioning

confidence: 99%

Successful Surgical Ligation Under Intraoperative Portal Vein Pressure Monitoring of a Large Portosystemic Shunt Presenting as an Intrapulmonary Shunt: Report of a Case

et al. 2004

View full text Add to dashboard Cite

We report a rare case of patent ductus venosus (PDV) with collapsed intrahepatic portal branches and an intrapulmonary shunt. Excellent improvement of the intrahepatic portal vein flow was achieved by ligating the large ductus venosus under intraoperative portal vein pressure (PVP) monitoring. A 3-year-old boy being followed up for hypergalactosemia at a local hospital was found to have mild lip cyanosis, exertional dyspnea, clubbed fingers, and mild liver dysfunction with high levels of transaminase and ammonia. Cardiac catheterization indicated an intrapulmonary shunt with a ratio of 33%. Abdominal ultrasonography and computed tomography showed remarkable communication between the portal vein and the inferior vena cava. We performed laparotomy and successfully ligated the PDV under PVP monitoring. The PVP did not increase until the catheter was removed 7 days postoperatively. The patient's liver function test results returned to normal within 2 weeks. His serum galactose level was 0 mg/dl after drinking milk, and his SpO2 in room air and exertional dyspnea also improved. He was discharged 18 days after his operation, without any complications. We propose that ligation of a PDV under PVP monitoring could be a treatment of choice, bearing in mind that PDV is associated with collapsed intrahepatic portal branches.

show abstract

Successful coil embolization in an infant with congenital intrahepatic portosystemic shunts

Cited by 20 publications

References 4 publications

Congenital anomalies of the IVC—embryological perspective and clinical relevance

Congenital anomalies of the IVC—embryological perspective and clinical relevance

Successful embolization using interlocking detachable coils for a congenital extrahepatic portosystemic venous shunt in a child

Successful Surgical Ligation Under Intraoperative Portal Vein Pressure Monitoring of a Large Portosystemic Shunt Presenting as an Intrapulmonary Shunt: Report of a Case

Contact Info

Product

Resources

About