Hepatic encephalopathy from dual splenorenal shunts treated with balloon-occluded retrograde transvenous obliteration by using a double-balloon technique.
The authors report on their experience with a 61-year-old woman with hepatic encephalopathy and two large splenorenal shunts. She was treated with dual balloon-occluded retrograde transvenous obliteration (B-RTO). Retrograde injection of the sclerosant into the shunt was performed with balloon occlusion of the two vessels draining into the left renal vein, and complete occlusion was achieved without complications. After B-RTO, the patient's clinical symptoms improved substantially and contrast-enhanced computed tomography (CT) performed 3 months later demonstrated complete thrombosis of the splenorenal shunts.
Matake
Kunishige
K
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. matakekun@gmail.com
Tajima
Tsuyoshi
T
Yoshimitsu
Kengo
K
Irie
Hiroyuki
H
Aibe
Hitoshi
H
Nishie
Akihiro
A
Asayama
Yoshiki
Y
Honda
Hiroshi
H
D002404:Catheterization / Q000379:methods*; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects*; D012077:Renal Artery / Q000601:surgery; D013154:Spleen / Q000601:surgery; D016896:Treatment Outcome