Percutaneous Transhepatic Obliteration for Treating Stomal Variceal Bleeding Using a Microballoon Catheter with Systemic Drainage Vein Compression.

Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-11-04 DOI:10.22575/interventionalradiology.2021-0033

Kensuke Osaragi, Tomohiro Matsumoto, Rika Yoshimatsu, Ayano Ito, Junko Nagata, Seiichiro Kojima, Terumitsu Hasebe, Takayoshi Suzuki, Takuji Yamagami

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Abstract

We report a case of successful treatment of stomal variceal bleeding with percutaneous transhepatic obliteration using a microballoon catheter concomitantly with drainage vein compression. A 72-year-old man with alcoholic cirrhosis was admitted to our hospital due to repeated hemorrhage of stomal varices. Percutaneous transhepatic obliteration was then selected for treatment because computed tomography revealed the stomal varices being fed by only two branches of the superior and inferior mesenteric veins. During microballoon inflation, 5% ethanolamine oleate with iopamidol was injected into each branch, and the systemic drainage veins were compressed by the gauze from the body surface near the stoma. No rebleeding from the stomal varices has been observed 14 months after the procedure.

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经皮经肝闭塞术治疗瘘口静脉曲张出血的微球囊导管系统引流静脉压迫。

我们报告一例成功治疗瘘静脉曲张出血经皮经肝闭塞使用微球囊导管伴随引流静脉压迫。一位72岁男性酒精性肝硬化患者因口静脉曲张反复出血而入院。然后选择经皮经肝闭塞术进行治疗，因为计算机断层扫描显示口静脉曲张仅由肠系膜上静脉和下静脉的两个分支供血。在微球囊充气过程中，将5%的油酸乙醇胺与iopamidol一起注射到每个分支，并用纱布从体表靠近气孔处压迫全身引流静脉。术后14个月未见造口静脉曲张再出血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Interventional radiology (Higashimatsuyama-shi (Japan)

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