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CardioVascular and Interventional Radiology

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01-10-2015 | Case Report

Balloon-Occluded Antegrade Transvenous Sclerotherapy to Treat Rectal Varices: A Direct Puncture Approach to the Superior Rectal Vein Through the Greater Sciatic Foramen Under CT Fluoroscopy Guidance

Authors: Yasuyuki Ono, Shuji Kariya, Miyuki Nakatani, Rie Yoshida, Yumiko Kono, Naoki Kan, Yutaka Ueno, Atsushi Komemushi, Noboru Tanigawa

Published in: CardioVascular and Interventional Radiology | Issue 5/2015

Abstract

Rectal varices occur in 44.5 % of patients with ectopic varices caused by portal hypertension, and 48.6 % of these patients are untreated and followed by observation. However, bleeding occurs in 38 % and shock leading to death in 5 % of such patients. Two patients, an 80-year-old woman undergoing treatment for primary biliary cirrhosis (Child-Pugh class A) and a 63-year-old man with class C hepatic cirrhosis (Child-Pugh class A), in whom balloon-occluded antegrade transvenous sclerotherapy was performed to treat rectal varices are reported. A catheter was inserted by directly puncturing the rectal vein percutaneously through the greater sciatic foramen under computed tomographic fluoroscopy guidance. In both cases, the rectal varices were successfully treated without any significant complications, with no bleeding from rectal varices after embolization.

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Title: Balloon-Occluded Antegrade Transvenous Sclerotherapy to Treat Rectal Varices: A Direct Puncture Approach to the Superior Rectal Vein Through the Greater Sciatic Foramen Under CT Fluoroscopy Guidance
Authors: Yasuyuki Ono
Shuji Kariya
Miyuki Nakatani
Rie Yoshida
Yumiko Kono
Naoki Kan
Yutaka Ueno
Atsushi Komemushi
Noboru Tanigawa
Publication date: 01-10-2015
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 5/2015
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-015-1174-4

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Balloon-Occluded Antegrade Transvenous Sclerotherapy to Treat Rectal Varices: A Direct Puncture Approach to the Superior Rectal Vein Through the Greater Sciatic Foramen Under CT Fluoroscopy Guidance

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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