Successful management of a congenital portosystemic shunt using coil-in-plug embolization: A case report

Q4 Medicine
H. Kaizuka, K. Sugimoto, M. Abe, Yu Yoshimasu, Hirohito Takeuchi, Yoshitaka Kasai, N. Shirota, T. Saguchi, H. Yamaguchi, T. Itoi
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引用次数: 0

Abstract

A 20-year-old man was referred to pediatrics for hyperbilirubinemia and mental retardation. Abdominal ultrasonography findings were indicative of a portosystemic shunt, and as a shunt between the left branch of the portal vein and inferior vena cava was confirmed by abdominal computed tomography, he was diagnosed with patency of the venous duct. We decided to perform shunt embolization using IVR, but as the shunt diame-ter had expanded like a funnel, its embolization was performed using a plug-and -metal coil, which led to an im-provement in hepatic reserve and blood ammonia levels postprocedure. Surgical ligation has been typically used in the management of portosystemic shunts, but as it is highly invasive, shunt embolization by IVR has become prevalent in recent years. Here we describe stable embolization using the IVR technique.
利用栓塞术成功治疗先天性门静脉系统分流1例
一名20岁男子因高胆红素血症和智力低下被转介到儿科。腹部超声检查提示门静脉系统分流,腹部计算机断层扫描证实门静脉左支与下腔静脉之间存在分流,诊断为静脉管通畅。我们决定使用IVR进行分流栓塞,但由于分流直径像漏斗一样扩大,因此使用桥塞和金属线圈进行栓塞,这导致术后肝脏储备和血氨水平的改善。手术结扎通常用于门静脉系统分流的治疗,但由于它具有高度侵入性,近年来通过IVR进行分流栓塞已变得普遍。在这里,我们描述稳定的栓塞使用IVR技术。
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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来源期刊
Acta Hepatologica Japonica
Acta Hepatologica Japonica Medicine-Hepatology
CiteScore
0.10
自引率
0.00%
发文量
65
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