Successful Treatment of Duodenal Variceal Bleeding with Coil-Assisted Retrograde Transvenous Obliteration: A Case Report

Autor: Se Jin Park, Young Hwan Kim, Ung Rae Kang, Seung Woo Ji
Jazyk: English<br />Korean
Rok vydání: 2020
Předmět:
Zdroj: 대한영상의학회지, Vol 81, Iss 1, Pp 231-236 (2020)
Druh dokumentu: article
ISSN: 1738-2637
2288-2928
DOI: 10.3348/jksr.2020.81.1.231
Popis: Duodenal varices can develop in patients with portal hypertension secondary to liver cirrhosis. Although upper gastrointestinal bleeding is often severe and fatal, the definite treatment or guideline has not been established. Although endoscopy is the primary therapeutic modality, the use of radiologic interventions, such as transjugular intrahepatic portosystemic shunt, balloon or vascular plug-assisted retrograde transvenous obliteration, and percutaneous transhepatic variceal obliteration, can be considered alternative treatment methods for duodenal varices. Herein, we report a case of duodenal varix in a patient with poor hepatic functional reserve and vascular anatomy, which are contraindications for an occlusion balloon or a vascular plug, successfully treated with coil-assisted retrograde transvenous obliteration.
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