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Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report
A 79-year-old woman with a history of advanced gastric cancer and portal vein tumor thrombus, treated with surgery and chemoradiotherapy, presented with hematemesis due to esophageal variceal bleeding around the esophagojejunal anastomosis. Endoscopic treatment was unsuccessful. Due to portal vein o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259231/ https://www.ncbi.nlm.nih.gov/pubmed/34257786 http://dx.doi.org/10.1016/j.radcr.2021.06.018 |
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author | Onishi, Yasuyuki Shimizu, Hironori Tsunoda, Shigeru Obama, Kazutaka Nakamoto, Yuji |
author_facet | Onishi, Yasuyuki Shimizu, Hironori Tsunoda, Shigeru Obama, Kazutaka Nakamoto, Yuji |
author_sort | Onishi, Yasuyuki |
collection | PubMed |
description | A 79-year-old woman with a history of advanced gastric cancer and portal vein tumor thrombus, treated with surgery and chemoradiotherapy, presented with hematemesis due to esophageal variceal bleeding around the esophagojejunal anastomosis. Endoscopic treatment was unsuccessful. Due to portal vein occlusion, percutaneous transhepatic access was difficult. Thus, the middle colic vein, which was dilated due to portal vein occlusion, was percutaneously punctured, and antegrade embolization of a jejunal vein feeding the varices was performed using a microcatheter through a 4-F dilator placed as a sheath. After embolization, the sheath was removed, and ultrasound-guided compression of the puncture site was performed. No bleeding complication occurred. Therefore, direct percutaneous access to a mesenteric vein is a viable alternative to transhepatic access. |
format | Online Article Text |
id | pubmed-8259231 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-82592312021-07-12 Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report Onishi, Yasuyuki Shimizu, Hironori Tsunoda, Shigeru Obama, Kazutaka Nakamoto, Yuji Radiol Case Rep Case Report A 79-year-old woman with a history of advanced gastric cancer and portal vein tumor thrombus, treated with surgery and chemoradiotherapy, presented with hematemesis due to esophageal variceal bleeding around the esophagojejunal anastomosis. Endoscopic treatment was unsuccessful. Due to portal vein occlusion, percutaneous transhepatic access was difficult. Thus, the middle colic vein, which was dilated due to portal vein occlusion, was percutaneously punctured, and antegrade embolization of a jejunal vein feeding the varices was performed using a microcatheter through a 4-F dilator placed as a sheath. After embolization, the sheath was removed, and ultrasound-guided compression of the puncture site was performed. No bleeding complication occurred. Therefore, direct percutaneous access to a mesenteric vein is a viable alternative to transhepatic access. Elsevier 2021-07-03 /pmc/articles/PMC8259231/ /pubmed/34257786 http://dx.doi.org/10.1016/j.radcr.2021.06.018 Text en © 2021 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 Onishi, Yasuyuki Shimizu, Hironori Tsunoda, Shigeru Obama, Kazutaka Nakamoto, Yuji Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report |
title | Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report |
title_full | Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report |
title_fullStr | Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report |
title_full_unstemmed | Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report |
title_short | Direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: A case report |
title_sort | direct percutaneous access to a mesenteric vein for antegrade embolization of esophageal varices: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259231/ https://www.ncbi.nlm.nih.gov/pubmed/34257786 http://dx.doi.org/10.1016/j.radcr.2021.06.018 |
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