Embolization of a paraumbilical shunt by the transparaumbilical venous approach and one-sheath inverse method: A case report

Hiroki Kamada, Hideki Ota, Kazumasa Seiji, Kei Takase

研究成果: Article査読

抄録

We describe treatment of a 53-year-old man with chronic hepatic encephalopathy. Contrast-enhanced computed tomography demonstrated a recanalized paraumbilical vein as a portosystemic shunt connecting the left branch of the portal vein and bilateral iliac veins. Percutaneous embolization was performed. The paraumbilical vein was punctured under ultrasonographic guidance; a 7-Fr sheath was inserted in the cranial direction. The hepatic side of the shunt was embolized with a vascular plug. The sheath direction was inverted to the caudal side; the pelvic side of the shunt was then embolized with another vascular plug. This report demonstrates that the percutaneous transparaumbilical venous approach is useful and safe for portosystemic shunt intervention. Moreover, the one-sheath inverse method was useful for embolization of upstream and downstream sides of the puncture site.

本文言語English
ページ(範囲)2125-2128
ページ数4
ジャーナルRadiology Case Reports
15
11
DOI
出版ステータスPublished - 2020 11

ASJC Scopus subject areas

  • 放射線学、核医学およびイメージング

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