Successful balloon-occluded retrograde transvenous obliteration for bleeding duodenal varices using cyanoacrylate

Rintaro Hashimoto; Keitaro Sofue; Yoshito Takeuchi; Kentaro Shibamoto; Yasuaki Arai

doi:10.3748/wjg.v19.i6.951

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Successful balloon-occluded retrograde transvenous obliteration for bleeding duodenal varices using cyanoacrylate

Journal article

Open access

Successful balloon-occluded retrograde transvenous obliteration for bleeding duodenal varices using cyanoacrylate

Rintaro Hashimoto, Keitaro Sofue, Yoshito Takeuchi, Kentaro Shibamoto and Yasuaki Arai

World journal of gastroenterology : WJG, Vol.19(6), pp.951-954

02/14/2013

DOI: 10.3748/wjg.v19.i6.951

PMCID: PMC3574895

PMID: 23429766

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Abstract

A 76-year-old woman with hepatitis C cirrhosis presented with tarry stools and hematemesis. An endoscopy demonstrated bleeding duodenal varices in the second portion of the duodenum. Contrast-enhanced computed tomography revealed markedly tortuous varices around the wall in the duodenum. Several afferent veins appeared to have developed, and the right ovarian vein draining into the inferior vena cava was detected as an efferent vein. Balloon-occluded retrograde transvenous obliteration (BRTO) of the varices using cyanoacrylate was successfully performed in combination with the temporary occlusion of the portal vein. Although no previous publications have used cyanoacrylate as an embolic agent for BRTO to control bleeding duodenal varices, this strategy can be considered as an alternative procedure to conventional BRTO using ethanolamine oleate when numerous afferent vessels that cannot be embolized are present.

Aged

Balloon Occlusion

Cyanoacrylates - therapeutic use

Duodenal Diseases - complications

Duodenal Diseases - diagnosis

Duodenal Diseases - therapy

Duodenoscopy

Embolization, Therapeutic

Female

Gastrointestinal Hemorrhage - diagnosis

Gastrointestinal Hemorrhage - etiology

Gastrointestinal Hemorrhage - therapy

Humans

Phlebography

Tomography, X-Ray Computed

Treatment Outcome

Varicose Veins - complications

Varicose Veins - diagnosis

Varicose Veins - therapy

Details

Title: Subtitle: Successful balloon-occluded retrograde transvenous obliteration for bleeding duodenal varices using cyanoacrylate
Creators: Rintaro Hashimoto - Department of Diagnostic Radiology, National Cancer Center Central Hospital, Tokyo 104-0045, Japan
Keitaro Sofue
Yoshito Takeuchi
Kentaro Shibamoto
Yasuaki Arai
Resource Type: Journal article
Publication Details: World journal of gastroenterology : WJG, Vol.19(6), pp.951-954
DOI: 10.3748/wjg.v19.i6.951
PMID: 23429766
PMCID: PMC3574895
ISSN: 1007-9327
eISSN: 2219-2840
Language: English
Date published: 02/14/2013
Academic Unit: Internal Medicine
Record Identifier: 9984695834902771

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