Bleeding duodenal varices successfully treated with balloon-occluded retrograde transvenous obliteration (B-RTO) assisted by CT during arterial portography.
A 60-year-old woman with massive hemorrhage from duodenal varices was transferred to our hospital for the purpose of transcatheter intervention. Although digital subtraction arterial portography could not depict the entire pathway of collateral circulation, the efferent route of the duodenal varices was clearly demonstrated on subsequent CT during arterial portography. Balloon-occluded retrograde transvenous obliteration (B-RTO) of the varices was performed via the efferent vein and achieved complete thrombosis of the varices.
Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan. he3m-trsk@asahi-net.or.jp
Masakatsu
M
Tsurusaki
Koji
K
Sugimoto
Shinichi
S
Matsumoto
Kenta
K
Izaki
Tetsuya
T
Fukuda
Yoshinobu
Y
Akasaka
Masahiko
M
Fujii
Shozo
S
Hirota
Kazuro
K
Sugimura
D015901:Angiography, Digital Subtraction; D001158:Arteries / Q000473:pathology; D021721:Balloon Occlusion; D004386:Duodenum / Q000098:blood supply*; D016145:Endoscopy, Digestive System; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D011172:Portography; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*