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.
Tsurusaki
Masakatsu
M
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
Sugimoto
Koji
K
Matsumoto
Shinichi
S
Izaki
Kenta
K
Fukuda
Tetsuya
T
Akasaka
Yoshinobu
Y
Fujii
Masahiko
M
Hirota
Shozo
S
Sugimura
Kazuro
K
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*