N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma

We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinp...

Descripción completa

Detalles Bibliográficos
Autores principales: Sonomura, Tetsuo, Kawai, Nobuyuki, Kishi, Kazushi, Ikoma, Akira, Sanda, Hiroki, Nakata, Kouhei, Minamiguchi, Hiroki, Nakai, Motoki, Hosokawa, Seiki, Tamai, Hideyuki, Sato, Morio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2014
Materias:
Intervention
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3955792/
https://www.ncbi.nlm.nih.gov/pubmed/24643464
http://dx.doi.org/10.3348/kjr.2014.15.2.250
Descripción
Sumario:We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinpoint embolization of the shunt, because the microcatheter tip was 2 cm away from the shunt site. Under hepatic arterial flow control using a balloon catheter, the arterioportal shunt was successfully embolized with NBCA, which caused an improvement in the esophageal varices.

Ejemplares similares