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...

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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
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author Sonomura, Tetsuo
Kawai, Nobuyuki
Kishi, Kazushi
Ikoma, Akira
Sanda, Hiroki
Nakata, Kouhei
Minamiguchi, Hiroki
Nakai, Motoki
Hosokawa, Seiki
Tamai, Hideyuki
Sato, Morio
author_facet Sonomura, Tetsuo
Kawai, Nobuyuki
Kishi, Kazushi
Ikoma, Akira
Sanda, Hiroki
Nakata, Kouhei
Minamiguchi, Hiroki
Nakai, Motoki
Hosokawa, Seiki
Tamai, Hideyuki
Sato, Morio
author_sort Sonomura, Tetsuo
collection PubMed
description 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.
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spelling pubmed-39557922014-03-18 N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma Sonomura, Tetsuo Kawai, Nobuyuki Kishi, Kazushi Ikoma, Akira Sanda, Hiroki Nakata, Kouhei Minamiguchi, Hiroki Nakai, Motoki Hosokawa, Seiki Tamai, Hideyuki Sato, Morio Korean J Radiol Intervention 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. The Korean Society of Radiology 2014 2014-03-07 /pmc/articles/PMC3955792/ /pubmed/24643464 http://dx.doi.org/10.3348/kjr.2014.15.2.250 Text en Copyright © 2014 The Korean Society of Radiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Intervention
Sonomura, Tetsuo
Kawai, Nobuyuki
Kishi, Kazushi
Ikoma, Akira
Sanda, Hiroki
Nakata, Kouhei
Minamiguchi, Hiroki
Nakai, Motoki
Hosokawa, Seiki
Tamai, Hideyuki
Sato, Morio
N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma
title N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma
title_full N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma
title_fullStr N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma
title_full_unstemmed N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma
title_short N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma
title_sort n-butyl cyanoacrylate embolization with blood flow control of an arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma
topic Intervention
url 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
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