Embolization of large gastric varices using vena cava filter and coils.
A 40-year-old male with alcoholic cirrhosis and portal hypertension presented with acute variceal hemorrhage. Abdominal CT scan and endoscopy revealed large gastric varices. The patient underwent a TIPS procedure. Portal venography demonstrated persistent filling of the large gastric varices with associated high-flow spontaneous splenorenal shunt. Because of the large size of the varices, a Simon-Nitinol filter was used in conjunction with multiple embolization coils to enable successful occlusion of the varices.
Ford
Jason M
JM
Department of Radiology, Indiana University School of Medicine, Indianapolis, USA.
Shah
Himanshu
H
Stecker
Michael S
MS
Namyslowski
Jan
J
D000208:Acute Disease; D000328:Adult; D000497:Alloys; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000295:instrumentation*; D016306:Vena Cava Filters
D000497:Alloys; C013616:nitinol