Balloon-occluded retrograde transvenous obliteration of a gastric varix via the left inferior phrenic vein.
We encountered a patient with a gastric varix that drained through the left inferior phrenic vein, which directly entered the inferior vena cava at the point just inferior to the diaphragm. In this patient, gastrorenal shunt was not seen. Balloon-occluded retrograde transvenous obliteration of the gastric varix was performed, in which 50% glucose and 5% ethanolamine oleate-iopamidol were injected as sclerosing agents while the balloon was inflated in the left inferior phrenic vein. 1 week after the procedure, the disappearance of enhancement in the gastric varix was confirmed on contrast-enhanced multidetector row CT. Furthermore, a significant reduction in the size of the varix was confirmed on endoscopic examination 4 months later.
Matsumoto
T
T
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku 602-8566, Kyoto, Japan. t-matsu@koto.kpu-m.ac.jp
Yamagami
T
T
Nakamura
N
N
Kato
T
T
Hirota
T
T
Yoshimatsu
R
R
Nishimura
T
T
D021721:Balloon Occlusion / Q000379:methods*; D003097:Collateral Circulation / Q000187:drug effects; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D019698:Hepatitis C, Chronic / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009829:Oleic Acids / Q000627:therapeutic use*; D011859:Radiography; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D015911:Sclerotherapy / Q000379:methods; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000000981:diagnostic imaging*
D009829:Oleic Acids; D012597:Sclerosing Solutions; C033343:ethanolamine oleate