Successful embolization of a spontaneous mesocaval shunt using the Amplatzer Vascular Plug II.
A 48-year-old man with alcoholic liver cirrhosis and hepatic encephalopathy was found to have a large, spontaneous mesocaval shunt. The shunt was successfully occluded with the use of an Amplatzer Vascular Plug. To our knowledge, this is the first report of the use of this device to embolize a mesocaval shunt involving the superior mesenteric vein.
Boixadera
Helena
H
Department of Radiology, Hospital Vall d' Hebron, Passeig de la Vall d'Hebron 119-129, Barcelona, Spain. hboixadera@hotmail.com
Tomasello
Alejandro
A
Quiroga
Sergi
S
Cordoba
Joan
J
Perez
Mercedes
M
Segarra
Antoni
A
D021721:Balloon Occlusion / Q000295:instrumentation* / Q000379:methods; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008642:Mesenteric Veins / Q000000981:diagnostic imaging*; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D011167:Portacaval Shunt, Surgical; D015641:Radiography, Interventional; D055989:Septal Occluder Device; D012720:Severity of Illness Index; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000209:etiology* / Q000628:therapy*