title: Successful balloon-occluded retrograde transvenous obliteration for bleeding duodenal varices using cyanoacrylate.
abstract: A 76-year-old woman with hepatitis C cirrhosis presented with tarry stools and hematemesis. An endoscopy demonstrated bleeding duodenal varices in the second portion of the duodenum. Contrast-enhanced computed tomography revealed markedly tortuous varices around the wall in the duodenum. Several afferent veins appeared to have developed, and the right ovarian vein draining into the inferior vena cava was detected as an efferent vein. Balloon-occluded retrograde transvenous obliteration (BRTO) of the varices using cyanoacrylate was successfully performed in combination with the temporary occlusion of the portal vein. Although no previous publications have used cyanoacrylate as an embolic agent for BRTO to control bleeding duodenal varices, this strategy can be considered as an alternative procedure to conventional BRTO using ethanolamine oleate when numerous afferent vessels that cannot be embolized are present.
authors: Department of Diagnostic Radiology, National Cancer Center Central Hospital, Tokyo 104-0045, Japan.
authors: Rintaro
authors: R
authors: Hashimoto
authors: Keitaro
authors: K
authors: Sofue
authors: Yoshito
authors: Y
authors: Takeuchi
authors: Kentaro
authors: K
authors: Shibamoto
authors: Yasuaki
authors: Y
authors: Arai
mesh_terms: D000368:Aged; D021721:Balloon Occlusion; D003487:Cyanoacrylates / Q000627:therapeutic use*; D004378:Duodenal Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004384:Duodenoscopy; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D010690:Phlebography; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014648:Varicose Veins / Q000150:complications / Q000175:diagnosis / Q000628:therapy*
chemical_list: D003487:Cyanoacrylates
keywords: Balloon-occluded retrograde transvenous obliteration; Bleeding duodenal varices; Combination therapy; Cyanoacrylate; Temporary portal vein occlusion