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...

Descripción completa

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
_version_ 1785100472113168384
author Cho, Etsu
Mitani, Hidenori
Chosa, Keigo
Tomiyoshi, Hideki
Baba, Yasutaka
Awai, Kazuo
author_facet Cho, Etsu
Mitani, Hidenori
Chosa, Keigo
Tomiyoshi, Hideki
Baba, Yasutaka
Awai, Kazuo
author_sort Cho, Etsu
collection PubMed
description 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.
format Online
Article
Text
id pubmed-10474348
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-104743482023-09-03 Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report Cho, Etsu Mitani, Hidenori Chosa, Keigo Tomiyoshi, Hideki Baba, Yasutaka Awai, Kazuo Radiol Case Rep 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 subsequently changed to hepatopetal flow and the symptoms of portal hypertension improved. We describe our endovascular treatment option for addressing hepatic arterioportal fistulas. Elsevier 2023-08-24 /pmc/articles/PMC10474348/ /pubmed/37663560 http://dx.doi.org/10.1016/j.radcr.2023.08.008 Text en © 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Cho, Etsu
Mitani, Hidenori
Chosa, Keigo
Tomiyoshi, Hideki
Baba, Yasutaka
Awai, Kazuo
Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report
title Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report
title_full Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report
title_fullStr Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report
title_full_unstemmed Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report
title_short Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report
title_sort transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: a case report
topic Case Report
url 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
work_keys_str_mv AT choetsu transportalscleroembolizationofhepaticarterioportalfistulasinapatientwithportalhypertensionacasereport
AT mitanihidenori transportalscleroembolizationofhepaticarterioportalfistulasinapatientwithportalhypertensionacasereport
AT chosakeigo transportalscleroembolizationofhepaticarterioportalfistulasinapatientwithportalhypertensionacasereport
AT tomiyoshihideki transportalscleroembolizationofhepaticarterioportalfistulasinapatientwithportalhypertensionacasereport
AT babayasutaka transportalscleroembolizationofhepaticarterioportalfistulasinapatientwithportalhypertensionacasereport
AT awaikazuo transportalscleroembolizationofhepaticarterioportalfistulasinapatientwithportalhypertensionacasereport

Ejemplares similares