title: Endovascular treatment of an unusual primary arterioportal fistula complicated by cavernous transformation of the portal vein caused by portal thrombosis.
abstract: We describe an elderly woman who presented with an unusual primary arterioportal fistula and cavernous transformation of the portal vein caused by portal thrombosis, which were subsequently managed with endovascular coil embolization and transjugular intrahepatic portosystemic shunt using 2 stents after balloon remodeling. This case shows a rarely seen condition in the elderly and a novel management strategy that should be considered in the management of this complex disease.
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
authors.forename: Wen-guang
authors.initials: WG
authors.lastname: Zhang
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
authors.forename: Peng-xu
authors.initials: PX
authors.lastname: Ding
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
authors.forename: Jian-zhuang
authors.initials: JZ
authors.lastname: Ren
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
authors.forename: Ji
authors.initials: J
authors.lastname: Ma
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
authors.forename: Peng-li
authors.initials: PL
authors.lastname: Zhou
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
authors.forename: Zhong-gao
authors.initials: ZG
authors.lastname: Wang
authors.affiliation: Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China. Electronic address: hanxinwei2006@163.com.
authors.forename: Xin-wei
authors.initials: XW
authors.lastname: Han
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D011169:Portal Vein / Q000000981:diagnostic imaging; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011172:Portography / Q000379:methods; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis