Work in progress: umbilical venous cannulation: a new approach for embolization of esophageal varices.

Spigos, Dimitrios G.; Tauber, Jürg W.; Tan, Walter S.; Mulligan, Brian D.; Espinoza, Guillermo Araujo

doi:10.1148/radiology.146.1.6600291

Cited by 9 publications

(5 citation statements)

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“…Fifth, the recanalized paraumbilical vein can also provide vascular access to the portal venous system. Paraumbilical vein cannulation after skin incision for esophageal varix embolization was reported more than three decades ago (10, 11). In addition, complete chemoembolization of hepatocellular carcinoma fed by the portal vein via a percutaneous transumbilical approach has also been reported (14).…”

Section: Discussionmentioning

confidence: 99%

“…In the early 1980', Sparks et al (10) and Spigos et al (11) reported of successful umbilical venous cannulation after skin incision in three and seven patients, respectively. Ibukuro et al (12) identified the paraumbilical vein under the linea alba after making a small midline incision, and then punctured the paraumbilical vein.…”

Section: Discussionmentioning

confidence: 99%

“…Ibukuro et al (12) identified the paraumbilical vein under the linea alba after making a small midline incision, and then punctured the paraumbilical vein. Whereas cannulation of the paraumbilical vein was made after skin incision in these previous reports (10, 11, 12), recent articles described percutaneous catheterization of the paraumbilical vein under ultrasound guidance (13, 14). In this study, percutaneous catheterization of the paraumbilical vein was performed without skin incision in all patients.…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous access to the portal venous system through the recanalized paraumbilical vein has been described in a few literature reports (10, 11, 12, 13, 14), but it has not been widely used because of its lack of evidence on safety. The retrospective study described here aimed to evaluate the feasibility of percutaneous access via the recanalized paraumbilical vein, in patients with portal hypertension.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Access via the Recanalized Paraumbilical Vein for Varix Embolization in Seven Patients

Cho

Kim

et al. 2014

Korean J Radiol

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ObjectiveTo evaluate the feasibility of percutaneous access via the recanalized paraumbilical vein for varix embolization.Materials and MethodsBetween July 2008 and Jan 2014, percutaneous access via the recanalized paraumbilical vein for varix embolization was attempted in seven patients with variceal bleeding. Paraumbilical vein puncture was performed under ultrasonographic guidance, followed by introduction of a 5-Fr sheath. We retrospectively evaluated the technical feasibility, procedure-related complications, and clinical outcomes of each patient.ResultsRecanalized paraumbilical vein catheterization was performed successfully in all patients. Gastroesophageal varix embolization was performed in six patients, and umbilical varix embolization was performed in one patient. Embolic materials used are N-butyl cyanoacrylate (n = 6) and coil with N-butyl cyanoacrylate (n = 1). There were no procedure-related complications. One patient underwent repeated variceal embolization 6 hours after initial procedure via recanalized paraumbilical vein, due to rebleeding from gastric varix.ConclusionPercutaneous access via the paraumbilical vein for varix embolization is a simple alternative in patients with portal hypertension.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Percutaneous Access via the Recanalized Paraumbilical Vein for Varix Embolization in Seven Patients

Cho

Kim

et al. 2014

Korean J Radiol

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“…However, UV cannulation also represents an accessible procedure, as cases of esophageal varices treated using UV cannulation were reported previously. 13 We assessed the hemodynamic profiles to determine whether an accessible route was available to perform IVR. MD-CT and 3D-angiography organized by MD-CT was useful to clarify the hemodynamics of the collateral vessels in this case, as was reported previously.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Bleeding Rectal Varices With Transumbilical Venous Obliteration of the Inferior Mesenteric Vein

Hashimoto¹,

Akahoshi

Kamori³

et al. 2013

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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A 56-year-old male with alcohol-induced liver cirrhosis developed rectal varices. He had a prior history of treatment for esophageal varices with endoscopic variceal ligation. Despite the repeated treatment for rectal varices with endoscopic variceal ligation, endoscopic injection sclerotherapy, and surgery, the bleeding from the rectal varices could not be controlled. Multidetector-row computed tomography and 3D-angiography revealed the hemodynamic profile of the rectal varices. We next approached the rectal varices through the umbilical vein on the abdominal wall, and successfully embolized the varices continuing from the inferior mesenteric vein using coils and a 5% solution of ethanolamine oleate with iopamidol.

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Percutaneous Transumbilical Portal Vein Embolization in a Patient with a Ruptured Hepatocellular Carcinoma Supplied by the Portal Vein

Kim

Chung

et al. 2010

Cardiovasc Intervent Radiol

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We describe a case of a ruptured hepatocellular carcinoma supplied by the portal vein that was successfully treated with portal vein embolization via a percutaneous transumbilical approach. A contrast material-enhanced computed tomographic (CT) scan showed the presence of a large hypervascular tumor on portal venous phase as well as right hepatic vein thrombosis and hemoperitoneum that prevented portal vein embolization by the use of the percutaneous and transjugular transhepatic approach. The use of percutaneous transumbilical portal vein embolization can be an alternative option in this situation.

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Work in progress: umbilical venous cannulation: a new approach for embolization of esophageal varices.

Cited by 9 publications

References 0 publications

Percutaneous Access via the Recanalized Paraumbilical Vein for Varix Embolization in Seven Patients

Percutaneous Access via the Recanalized Paraumbilical Vein for Varix Embolization in Seven Patients

Treatment of Bleeding Rectal Varices With Transumbilical Venous Obliteration of the Inferior Mesenteric Vein

Percutaneous Transumbilical Portal Vein Embolization in a Patient with a Ruptured Hepatocellular Carcinoma Supplied by the Portal Vein

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