堵塞汽球后退为经由脊间的静脉的胃的静脉曲张的 transvenous 涂去

• 作者: Akira Ikoma Hiroki Minamiguchi Isao Takasaka Kouhei Nakata Morio Sato Motoki Nakai Munehisa Sawa Nobuyuki Kawai Shinya Sahara Tetsuo Sonomura
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Balloon-occluded retrograde TRANSVENOUS OBLITERATION Gastric VARICES Gastro-subphrenic-intercostal VEIN shunt Hepatocellular carcinoma INTERCOSTAL VEIN
• 年，卷（期）: 2012,（3）
• 页码范围: 121-125
• 页数: 5页
• 分类号: R575.2

摘要

Gastric varices are usually associated with a gastrorenal(G-R) shunt.However,the gastric varices described in this case report were not associated with a G-R shunt.The inflow vessel was the posterior gastric vein and the outflow vessels were the narrow inferior phrenic vein and the dilated cardio-phrenic vein.First,percutaneous transhepatic obliteration of the posterior gastric vein was performed,but the gastric varices remained patent.Then,micro-balloon catheterization of the subphrenic vein was carried out via the jugular vein,pericardial vein and cardio-phrenic vein,however,micro-balloon-occluded inferior phrenic venography followed by micro-coil embolization of the cardio-phrenic vein revealed no delineation of gastric varices resulting in no further treatment.Thereafter,as a gastrosubphrenic-intercostal vein shunt developed,a microballoon catheter was advanced to the gastric varices via the intercostal vein and balloon-occluded retrograde transvenous obliteration(BRTO) was performed resulting in the eradication of gastric varices.BRTO for gastric varices via the intercostal vein has not previously been documented.