title: Intrahepatic portosystemic venous shunt: successful embolization using the Amplatzer Vascular Plug II.
abstract: A 67-year-old woman presented with memory impairment and behavioral changes. Brain MRI indicated hepatic encephalopathy. Abdominal CT scans revealed an intrahepatic portosystemic venous shunt that consisted of two shunt tracts to the aneurysmal sac that communicated directly with the right hepatic vein. The large tract was successfully occluded by embolization using the newly available AMPLATZERTM Vascular Plug II and the small tract was occluded by using coils. The patient's symptoms disappeared after shunt closure and she remained free of recurrence at the 3-month follow-up evaluation.
authors.affiliation: Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon 301-721, Korea.
authors.forename: Young-ju
authors.initials: YJ
authors.lastname: Lee
authors.forename: Byung Seok
authors.initials: BS
authors.lastname: Shin
authors.forename: In Ho
authors.initials: IH
authors.lastname: Lee
authors.forename: Joon Young
authors.initials: JY
authors.lastname: Ohm
authors.forename: Byung-seok
authors.initials: BS
authors.lastname: Lee
authors.forename: Moonsang
authors.initials: M
authors.lastname: Ahn
authors.forename: Ho Jun
authors.initials: HJ
authors.lastname: Kim
mesh_terms: D000368:Aged; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology / Q000628:therapy*; D006503:Hepatic Veins / Q000002:abnormalities / Q000000981:diagnostic imaging; D006801:Humans; D008102:Liver Circulation; D011169:Portal Vein / Q000002:abnormalities / Q000000981:diagnostic imaging; D011859:Radiography; D055989:Septal Occluder Device
keywords: Embolization; Hepatic encephalopathy; Portosystemic shunt; Surgical; Therapeutic