Literature DB >> 21326737

Splenic artery embolization and balloon occlusion retrograde alcohol embolization in a patient with bleeding gastric varices.

Laura M Allen1, George Behrens, Nilesh H Patel, Hector Ferral.   

Abstract

We present a patient with a large spontaneous splenorenal shunt secondary to isolated splenic vein thrombosis who developed severe bleeding from fundal gastric varices. The patient was managed emergently with splenic artery embolization and balloon occlusion retrograde embolization of the varices with alcohol. We discuss the clinical presentation, embolization techniques, and a potential complication of the use of alcohol for this purpose.

Entities:  

Keywords:  Balloon occlusion retrograde embolization; gastric varices; portosystemic communications; postembolization cardiovascular collapse; splenic artery embolization; splenic vein thrombosis; splenorenal shunt

Year:  2007        PMID： 21326737      PMCID： PMC3036339          DOI： 10.1055/s-2007-971186

Source DB:  PubMed          Journal:  Semin Intervent Radiol        ISSN： 0739-9529            Impact factor:   1.513


  8 in total

1.  Retrograde transvenous obliteration of gastric varices.

Authors:  S Hirota; S Matsumoto; M Tomita; M Sako; M Kono
Journal:  Radiology       Date:  1999-05       Impact factor: 11.105

2.  Sinistral portal hypertension; imaging findings and endovascular therapy.

Authors:  O Cakmak; M Parildar; I Oran; A Sever; A Memis
Journal:  Abdom Imaging       Date:  2005-12-30

3.  Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration.

Authors:  H Kanagawa; S Mima; H Kouyama; K Gotoh; T Uchida; K Okuda
Journal:  J Gastroenterol Hepatol       Date:  1996-01       Impact factor: 4.029

4.  Gastric varices with splenic vein occlusion treated by splenic arterial embolization.

Authors:  T Sato; K Yamazaki; J Toyota; Y Karino; T Ohmura; T Suga
Journal:  J Gastroenterol       Date:  2000       Impact factor: 7.527

5.  Emergency splenic arterial embolization for massive variceal bleeding in liver recipient with left-sided portal hypertension.

Authors:  Hsin-You Ou; Tung-Liang Huang; Tai-Yi Chen; Leo Leung-Chit Tsang; Allan M Concejero; Chao-Long Chen; Yu-Fan Cheng
Journal:  Liver Transpl       Date:  2005-09       Impact factor: 5.799

6.  Extensive portal and splenic vein thrombosis: differences in hemodynamics and management.

Authors:  S R Shah; H L Deshmukh; S K Mathur
Journal:  Hepatogastroenterology       Date:  2003 Jul-Aug

7.  Pulmonary artery pressure changes during ethanol embolization procedures to treat vascular malformations: can cardiovascular collapse be predicted?

Authors:  Sally E Mitchell; Amber M Shah; Deborah Schwengel
Journal:  J Vasc Interv Radiol       Date:  2006-02       Impact factor: 3.464

8.  Isolated splenic vein thrombosis.

Authors:  M J Glynn
Journal:  Arch Surg       Date:  1986-06
  8 in total

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