Coil-assisted retrograde transvenous obliteration of gastric varices by an inverted catheter tip technique via the pericardiophrenic vein

Radiology Case Reports

article

Kazuo Asano¹  Atsushi Jogo¹  Yukimasa Sakai¹  Akira Yamamoto¹  Shinsaku Yata¹  Toshio Kaminou¹  Sami Okahashi¹  Mariko Nakano¹  Mineyoshi Nango¹  Ken Kageyama¹  Etsuji Sohgawa¹  Yukio Miki¹ 

[1] Department of Radiology, National Hospital Organization Osaka Minami Medical Center

关键词: Gastric varices;    BRTO;    CARTO;    Transvenous obliteration;    Portal hypertension;   

DOI  :  10.1016/j.radcr.2022.10.003

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

A 70-year-old woman with liver cirrhosis was admitted to our hospital for treatment of growing gastric varices in the fundus. Computed tomography showed gastric varices continuously draining the pericardiophrenic vein via the inferior phrenic vein. Balloon-occluded retrograde transvenous obliteration by a transjugular approach was planned. However, a conventional balloon catheter or microballoon catheter could not be inserted into the efferent vein near the varices because of the narrowness and tortuosity of the vein. Hence, coil-assisted retrograde transvenous obliteration was performed by an inverted catheter tip technique using a single conventional microcatheter. This technique might be useful for cases in which it is difficult to insert a balloon catheter into the efferent vein.

【 授权许可】

CC BY|CC BY-NC-ND