Cargando…
Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation
A 57-year-old man was admitted to our hospital because of frequent hematochezia. Colonoscopy exhibited a submucosal tumor-like lesion in the lower rectum. Abdominal contrast-enhanced computed tomography showed a rectal arteriovenous malformation (AVM) on the right side wall of the lower rectum. The...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Singapore
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016791/ https://www.ncbi.nlm.nih.gov/pubmed/33420667 http://dx.doi.org/10.1007/s12328-020-01335-w |
_version_ | 1783673926486851584 |
---|---|
author | Jubashi, Amane Yamaguchi, Daisuke Nagatsuma, Goshi Inoue, Suma Tanaka, Yuichiro Yoshioka, Wataru Hino, Naoyuki Morisaki, Tomohito Ario, Keisuke Fukui, Kenichiro Ishimaru, Hideki Tsunada, Seiji |
author_facet | Jubashi, Amane Yamaguchi, Daisuke Nagatsuma, Goshi Inoue, Suma Tanaka, Yuichiro Yoshioka, Wataru Hino, Naoyuki Morisaki, Tomohito Ario, Keisuke Fukui, Kenichiro Ishimaru, Hideki Tsunada, Seiji |
author_sort | Jubashi, Amane |
collection | PubMed |
description | A 57-year-old man was admitted to our hospital because of frequent hematochezia. Colonoscopy exhibited a submucosal tumor-like lesion in the lower rectum. Abdominal contrast-enhanced computed tomography showed a rectal arteriovenous malformation (AVM) on the right side wall of the lower rectum. The feeder was the superior rectal artery, with early venous return. Embolization of the draining vein and feeding artery of the AVM with N-butyl-2-cyanoacrylate under balloon occlusion was planned. Angiography of the superior rectal artery showed the nidus in the rectum with early venous return of contrast material. The portal vein was punctured percutaneously under ultrasound guidance, and a balloon catheter advanced to the distal part of the superior rectal vein. Venography under balloon occlusion showed the outflow vein and nidus. Transvenous and transarterial nidus embolization with N-butyl-2-cyanoacrylate under balloon occlusion was then performed. Since the embolization, there have been no further episodes of bleeding. There is no established treatment for AVMs. Successful treatment requires targeting and eradication of the nidus. We successfully performed embolization therapy for a rectal AVM via a retrograde transvenous approach. This technique may be suitable for completely eradicating the nidus without the risk of embolism. |
format | Online Article Text |
id | pubmed-8016791 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-80167912021-04-16 Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation Jubashi, Amane Yamaguchi, Daisuke Nagatsuma, Goshi Inoue, Suma Tanaka, Yuichiro Yoshioka, Wataru Hino, Naoyuki Morisaki, Tomohito Ario, Keisuke Fukui, Kenichiro Ishimaru, Hideki Tsunada, Seiji Clin J Gastroenterol Case Report A 57-year-old man was admitted to our hospital because of frequent hematochezia. Colonoscopy exhibited a submucosal tumor-like lesion in the lower rectum. Abdominal contrast-enhanced computed tomography showed a rectal arteriovenous malformation (AVM) on the right side wall of the lower rectum. The feeder was the superior rectal artery, with early venous return. Embolization of the draining vein and feeding artery of the AVM with N-butyl-2-cyanoacrylate under balloon occlusion was planned. Angiography of the superior rectal artery showed the nidus in the rectum with early venous return of contrast material. The portal vein was punctured percutaneously under ultrasound guidance, and a balloon catheter advanced to the distal part of the superior rectal vein. Venography under balloon occlusion showed the outflow vein and nidus. Transvenous and transarterial nidus embolization with N-butyl-2-cyanoacrylate under balloon occlusion was then performed. Since the embolization, there have been no further episodes of bleeding. There is no established treatment for AVMs. Successful treatment requires targeting and eradication of the nidus. We successfully performed embolization therapy for a rectal AVM via a retrograde transvenous approach. This technique may be suitable for completely eradicating the nidus without the risk of embolism. Springer Singapore 2021-01-08 2021 /pmc/articles/PMC8016791/ /pubmed/33420667 http://dx.doi.org/10.1007/s12328-020-01335-w Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Case Report Jubashi, Amane Yamaguchi, Daisuke Nagatsuma, Goshi Inoue, Suma Tanaka, Yuichiro Yoshioka, Wataru Hino, Naoyuki Morisaki, Tomohito Ario, Keisuke Fukui, Kenichiro Ishimaru, Hideki Tsunada, Seiji Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation |
title | Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation |
title_full | Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation |
title_fullStr | Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation |
title_full_unstemmed | Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation |
title_short | Successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation |
title_sort | successful retrograde transvenous embolization under balloon occlusion for rectal arteriovenous malformation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016791/ https://www.ncbi.nlm.nih.gov/pubmed/33420667 http://dx.doi.org/10.1007/s12328-020-01335-w |
work_keys_str_mv | AT jubashiamane successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT yamaguchidaisuke successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT nagatsumagoshi successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT inouesuma successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT tanakayuichiro successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT yoshiokawataru successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT hinonaoyuki successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT morisakitomohito successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT ariokeisuke successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT fukuikenichiro successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT ishimaruhideki successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation AT tsunadaseiji successfulretrogradetransvenousembolizationunderballoonocclusionforrectalarteriovenousmalformation |