Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report

We report a rare patient with portal hypertension who presented with esophageal- and gastric varices and refractory ascites due to hepatic arterioportal fistulas. Treatment by transportal scleroembolization using ethanolamine oleate and coils were successful. Pretreatment hepatofugal flow subsequent...

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Detalles Bibliográficos
Autores principales: Cho, Etsu, Mitani, Hidenori, Chosa, Keigo, Tomiyoshi, Hideki, Baba, Yasutaka, Awai, Kazuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10474348/
https://www.ncbi.nlm.nih.gov/pubmed/37663560
http://dx.doi.org/10.1016/j.radcr.2023.08.008
Descripción
Sumario:We report a rare patient with portal hypertension who presented with esophageal- and gastric varices and refractory ascites due to hepatic arterioportal fistulas. Treatment by transportal scleroembolization using ethanolamine oleate and coils were successful. Pretreatment hepatofugal flow subsequently changed to hepatopetal flow and the symptoms of portal hypertension improved. We describe our endovascular treatment option for addressing hepatic arterioportal fistulas.

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