Treatment of Hepatic Encephalopathy Due to Inferior Mesenteric Vein/Inferior Vena Cava and Gonadal Vein Shunt Using Dual Balloon-Occluded Retrograde Transvenous Obliteration

Tanaka, R.; Ibukuro, Kenji; Abe, Shoko; Tobe, Kimiko; Fukuda, Haruki; Kondou, Yuji; Tagawa, Kunio

doi:10.1007/s00270-008-9422-5

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…We experienced worsening of esophageal varices in 28.6% (4/14 patients), but all of these worsening varices were resolved by endoscopic therapy. For reduction of portal venous pressure after PTE, splenic embolization or splenectomy would be helpful after PTE . We consider that the analysis of hepatic vein wedge pressure (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…PTE has been safely performed for PSE with almost complete eradication. At present, however, the majority of reports have been case reports or short‐term results . The long‐term outcome of more than 1 year after PTE has not yet been fully demonstrated.…”

Section: Introductionmentioning

confidence: 98%

“…1,2 PSE is caused by portosystemic shunts (PSS), including splenorenal (SR) shunts, gastrorenal (GR) shunts, superior mesenteric vein (SMV) systemic shunts, inferior mesenteric vein (IMV) systemic shunts and portal vein (PV) inferior vena cava (IVC) shunts. PSE can be treated with surgery or interventional radiology, [3][4][5][6][7][8] or medication. 9,10 Surgical treatment is ligation of shunts.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous transvenous embolization for portosystemic shunts associated with encephalopathy: Long‐term outcomes in 14 patients

Naeshiro

Kakizawa

Aikata

et al. 2013

Hepatology Research

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Percutaneous transvenous embolization for portosystemic shunts associated with encephalopathy: Long‐term outcomes in 14 patients

Naeshiro

Kakizawa

Aikata

et al. 2013

Hepatology Research

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“…In our patient, gonadal venography performed during balloon occlusion showed no opacification of the duodenal varices. Therefore, based on reports describing the successful treatment of gastric varices and hepatic encephalopathy by DOBE (6) we chose to use this technique. CT scans acquired before DOBE revealed duodenal varices; they were fed from the posterior inferior pancreaticoduodenal vein and drained into the right gonadal vein.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of ruptured duodenal varices with dual balloon-occluded embolotherapy

Ikeda

Nakasone

Beppu

et al. 2012

Acta Radiologica Short Reports

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Duodenal varices are ectopic portosystemic shunts that do not tend to result in gastrointestinal bleeding. Balloon-occluded retrograde transvenous obliteration is an established treatment for gastric varices. We report a 60-year-old man with melena due to ruptured duodenal varices originating at an inferior pancreaticoduodenal vein; drainage was into a gonadal vein. His ruptured duodenal varices were successfully treated by dual balloon-occluded embolotherapy.

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“…Various collateral pathways of porto-systemic shunts contribute to hepatic encephalopathy, and the frequency of collateral pathways associated with the IMV is about 13% [11]. The drainage veins of these shunts include: direct shunt to the IVC, left gonadal vein, left internal iliac vein, and right gonadal vein.…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment for Hepatic Encephalopathy Aggravated by Portal Vein Thrombosis with Balloon-Occluded Retrograde Transvenous Obliteration

Hashimoto

Akahoshi

Shoji

et al. 2011

Case Rep Gastroenterol

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This report presents the case of a 78-year-old female with hepatic encephalopathy due to an inferior mesenteric venous-inferior vena cava shunt. She developed hepatocellular carcinoma affected by hepatitis C virus-related cirrhosis and underwent posterior sectionectomy. Portal vein thrombosis developed and the portal trunk was narrowed after hepatectomy. Portal vein thrombosis resulted in high portal pressure and increased blood flow in an inferior mesenteric venous-inferior vena cava shunt, and hepatic encephalopathy with hyperammonemia was aggravated. The hepatic encephalopathy aggravated by portal vein thrombosis was successfully treated by balloon-occluded retrograde transvenous obliteration via a right transjugular venous approach without the development of other collateral vessels.

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Treatment of Hepatic Encephalopathy Due to Inferior Mesenteric Vein/Inferior Vena Cava and Gonadal Vein Shunt Using Dual Balloon-Occluded Retrograde Transvenous Obliteration

Cited by 9 publications

References 10 publications

Percutaneous transvenous embolization for portosystemic shunts associated with encephalopathy: Long‐term outcomes in 14 patients

Percutaneous transvenous embolization for portosystemic shunts associated with encephalopathy: Long‐term outcomes in 14 patients

Successful treatment of ruptured duodenal varices with dual balloon-occluded embolotherapy

Successful Treatment for Hepatic Encephalopathy Aggravated by Portal Vein Thrombosis with Balloon-Occluded Retrograde Transvenous Obliteration

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