title: Embolization of large gastric varices using vena cava filter and coils.
abstract: 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.
authors.affiliation: Department of Radiology, Indiana University School of Medicine, Indianapolis, USA.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Ford
authors.forename: Himanshu
authors.initials: H
authors.lastname: Shah
authors.forename: Michael S
authors.initials: MS
authors.lastname: Stecker
authors.forename: Jan
authors.initials: J
authors.lastname: Namyslowski
mesh_terms: 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
chemical_list: D000497:Alloys; C013616:nitinol