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Balloon-occluded retrograde transvenous obliteration of gastric varix draining via the left inferior phrenic vein into the left hepatic vein

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Abstract

We encountered a patient with gastric varix draining not via the usual left suprarenal vein but via the left inferior phrenic vein joining the left hepatic vein. Transfemoral balloon-occluded retrograde transvenous obliteration (BRTO) of the varix was performed under balloon occlusion of the left inferior phrenic vein via the left hepatic vein and retrograde injection of the sclerosing agent (5% of ethanolamine oleate) into the gastric varix. Disappearance of the gastric varix was confirmed on endoscopic examination 2 months later.

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References

  1. Olson E, Yune HY, Klatte EC (1984) Transrenal-vein reflux ethanol sclerosis of gastroesophageal varices. AJR 143:627–628

    PubMed  CAS  Google Scholar 

  2. Kanagawa H, Mima S, Kouyama H, Mizuo H, Iziri M, Tanabe T, Itou Y, Sekiya T (1991) A successfully treated case of fundic varices by retrograde transvenous obliteration with balloon. Jpn Gastroenterol 88:1459–1462

    CAS  Google Scholar 

  3. Koito K, Namieno T, Nagakawa T, Morita K (1996) Balloon-occluded retrograde transvenous obliteration for gastric varices with gastrorenal or gastrocaval collaterals. AJR 167:1317–1320

    PubMed  CAS  Google Scholar 

  4. Lunderquist A, Vang J (1974) Transhepatic catheterization and obliteration of the coronary vein in patients with portal hypertension and esophageal varices. N Engl J Med 291:646–649

    PubMed  CAS  Google Scholar 

  5. Ito K, Higuchi M, Kada T, Mitchell DG, Nomura S, Honjo K, Fujita T, Awaya H, Matsumoto T, Matsunaga N (1997) CT of acquired abnormalities of the portal venous system. Radiographics 17:897–917

    PubMed  CAS  Google Scholar 

  6. Widrich WC, Srinivasan M, Semine MC, Robbins AH (1984) Collateral pathways of the left gastric vein in portal hypertension. AJR 142:375–382

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Mitsui Memorial Hospital, 1-Kanda Izumicho, Chiyoda-ku, 101-8643, Tokyo, Japan

    Kenji Ibukuro, Koichi Mori, Toshitaka Tsukiyama & Yoshihiro Inoue

  2. Department of Gastroenterology, Mitsui Memorial Hospital, 1-Kanda Izumicho, Chiyoda-ku, 101-8643, Tokyo, Japan

    Yukako Iwamoto & Kazumi Tagawa

Authors
  1. Kenji Ibukuro
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  2. Koichi Mori
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  3. Toshitaka Tsukiyama
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  4. Yoshihiro Inoue
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  5. Yukako Iwamoto
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  6. Kazumi Tagawa
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Ibukuro, K., Mori, K., Tsukiyama, T. et al. Balloon-occluded retrograde transvenous obliteration of gastric varix draining via the left inferior phrenic vein into the left hepatic vein. Cardiovasc Intervent Radiol 22, 415–417 (1999). https://doi.org/10.1007/s002709900417

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  • DOI: https://doi.org/10.1007/s002709900417

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