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Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices

The standard treatment for ruptured duodenal varices remains to be established. Emergency balloon-occluded retrograde transvenous obliteration is challenging in patients with bleeding because re-rupture of varices can occur due to increased pressure when using the retrograde approach. Herein, we des...

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Autores principales: Jogo, Atsushi, Yamamoto, Akira, Kageyama, Ken, Sasaki, Fumi, Oura, Tatsushi, Mitsuyama, Yasuhito, Terayama, Eisaku, Matsushita, Kazuki, Asano, Kazuo, Sakai, Yuki, Ozaki, Masanori, Harada, Shohei, Murai, Kazuki, Nakano, Mariko, Sohgawa, Etsuji, Kita, Ryuichi, Kaminou, Toshio, Miki, Yukio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542599/
https://www.ncbi.nlm.nih.gov/pubmed/37789920
http://dx.doi.org/10.1016/j.radcr.2023.08.096
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author Jogo, Atsushi
Yamamoto, Akira
Kageyama, Ken
Sasaki, Fumi
Oura, Tatsushi
Mitsuyama, Yasuhito
Terayama, Eisaku
Matsushita, Kazuki
Asano, Kazuo
Sakai, Yuki
Ozaki, Masanori
Harada, Shohei
Murai, Kazuki
Nakano, Mariko
Sohgawa, Etsuji
Kita, Ryuichi
Kaminou, Toshio
Miki, Yukio
author_facet Jogo, Atsushi
Yamamoto, Akira
Kageyama, Ken
Sasaki, Fumi
Oura, Tatsushi
Mitsuyama, Yasuhito
Terayama, Eisaku
Matsushita, Kazuki
Asano, Kazuo
Sakai, Yuki
Ozaki, Masanori
Harada, Shohei
Murai, Kazuki
Nakano, Mariko
Sohgawa, Etsuji
Kita, Ryuichi
Kaminou, Toshio
Miki, Yukio
author_sort Jogo, Atsushi
collection PubMed
description The standard treatment for ruptured duodenal varices remains to be established. Emergency balloon-occluded retrograde transvenous obliteration is challenging in patients with bleeding because re-rupture of varices can occur due to increased pressure when using the retrograde approach. Herein, we describe a case in which a catheter was retrogradely advanced to the afferent vein beyond bleeding duodenal varices; however, the varices re-ruptured during coil embolization, and a part of the catheter was deviated into the intestinal tract. The rupture site was embolized by liquid embolic materials from the microcatheter. Embolization via retrograde approach needs to be carefully performed.
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spelling pubmed-105425992023-10-03 Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices Jogo, Atsushi Yamamoto, Akira Kageyama, Ken Sasaki, Fumi Oura, Tatsushi Mitsuyama, Yasuhito Terayama, Eisaku Matsushita, Kazuki Asano, Kazuo Sakai, Yuki Ozaki, Masanori Harada, Shohei Murai, Kazuki Nakano, Mariko Sohgawa, Etsuji Kita, Ryuichi Kaminou, Toshio Miki, Yukio Radiol Case Rep Case Report The standard treatment for ruptured duodenal varices remains to be established. Emergency balloon-occluded retrograde transvenous obliteration is challenging in patients with bleeding because re-rupture of varices can occur due to increased pressure when using the retrograde approach. Herein, we describe a case in which a catheter was retrogradely advanced to the afferent vein beyond bleeding duodenal varices; however, the varices re-ruptured during coil embolization, and a part of the catheter was deviated into the intestinal tract. The rupture site was embolized by liquid embolic materials from the microcatheter. Embolization via retrograde approach needs to be carefully performed. Elsevier 2023-09-26 /pmc/articles/PMC10542599/ /pubmed/37789920 http://dx.doi.org/10.1016/j.radcr.2023.08.096 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
Jogo, Atsushi
Yamamoto, Akira
Kageyama, Ken
Sasaki, Fumi
Oura, Tatsushi
Mitsuyama, Yasuhito
Terayama, Eisaku
Matsushita, Kazuki
Asano, Kazuo
Sakai, Yuki
Ozaki, Masanori
Harada, Shohei
Murai, Kazuki
Nakano, Mariko
Sohgawa, Etsuji
Kita, Ryuichi
Kaminou, Toshio
Miki, Yukio
Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices
title Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices
title_full Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices
title_fullStr Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices
title_full_unstemmed Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices
title_short Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices
title_sort afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542599/
https://www.ncbi.nlm.nih.gov/pubmed/37789920
http://dx.doi.org/10.1016/j.radcr.2023.08.096
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