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CardioVascular and Interventional Radiology

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01-12-2006 | CASE REPORT

Bleeding Duodenal Varices Successfully Treated with Balloon-Occluded Retrograde Transvenous Obliteration (B-RTO) Assisted by CT During Arterial Portography

Authors: Masakatsu Tsurusaki, Koji Sugimoto, Shinichi Matsumoto, Kenta Izaki, Tetsuya Fukuda, Yoshinobu Akasaka, Masahiko Fujii, Shozo Hirota, Kazuro Sugimura

Published in: CardioVascular and Interventional Radiology | Issue 6/2006

Abstract

A 60-year-old woman with massive hemorrhage from duodenal varices was transferred to our hospital for the purpose of transcatheter intervention. Although digital subtraction arterial portography could not depict the entire pathway of collateral circulation, the efferent route of the duodenal varices was clearly demonstrated on subsequent CT during arterial portography. Balloon-occluded retrograde transvenous obliteration (B-RTO) of the varices was performed via the efferent vein and achieved complete thrombosis of the varices.

Khouqeer, F, Morrow, C, Jordan, P 1987Duodenal varices as a cause of massive upper gastrointestinal bleedingSurgery102548552PubMed

Kirkpatrick, JR, Shoenut, JP, Micflikier, AB 1985Successful injection sclerotherapy for bleeding duodenal varix in intrahepatic portal obstructionGastrointest Endosc31259260PubMed

Rai, R, Panzer, SW, Miskovsky, E, Thuluvath, PJ 1994Thrombin injection for bleeding duodenal varicesAm J Gastroenterol8918711873PubMed

Sans, M, Llach, J, Bordas, JM, et al. 1996Thrombin and ethanolamine injection therapy in arresting uncontrolled bleeding from duodenal varicesEndoscopy28403PubMed

Shiraishi, M, Hiroyasu, S, Higa, T, et al. 1999Successful management of ruptured duodenal varices by means of endoscopic variceal ligation: report of a caseGastrointest Endosc49255257PubMedCrossRef

Herold, G, Stange, EF 1993Sclerotherapy of duodenal varices using a fibrin tissue sealantEndoscopy25371372PubMed

Tazawa, J, Sakai, Y, Koizumi, K, et al. 1995Endoscopic ligation for ruptured duodenal varicesAm J Gastroenterol90677678PubMed

Ota, K, Shirai, Z, Masuzaki, T, et al. 1998Endoscopic injection sclerotherapy with n-butyl-2-cyanoacrylate for ruptured duodenal varicesJ Gastroenterol33550555PubMedCrossRef

Sauerbruch, T, Weinzierl, M, Dietrich, HP, et al. 1982Sclerotherapy of a bleeding duodenal varixEndoscopy14187189PubMedCrossRef

10.

Barbish, AW, Ehrinpreis, MN 1993Successful endoscopic injection sclerotherapy of a bleeding duodenal varixAm J Gastroenterol889092PubMed

11.

Jonnalagadda, SS, Quiason, S, Smith, OJ 1998Successful therapy of bleeding duodenal varices by TIPS after failure of sclerotherapyAm J Gastroenterol93272274PubMedCrossRef

12.

Menu, Y, Gayet, B, Nahum, H 1987Bleeding duodenal varices: diagnosis and treatment by percutaneous portography and transcatheter embolizationGastrointest Radiol12111113PubMedCrossRef

13.

Hirota, S, Matsumoto, S, Tomita, M, et al. 1999Retrograde transvenous obliteration of gastric varicesRadiology211349356PubMed

14.

Fukuda, T, Hirota, S, Sugimura, K 2001Long-term results of balloon-occluded retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathyJ Vasc Interv Radiol12327336PubMed

15.

Haruta, I, Isobe, Y, Ueno, E, et al. 1996Balloon-occluded retrograde transvenous obliteration (BRTO), a promising nonsurgical therapy for ectopic varices: a case report of successful treatment of duodenal varices by BRTOAm J Gastroenterol9125942597PubMed

16.

Ohta, M, Yasumori, K, Saku, M, et al. 1999Successful treatment of bleeding duodenal varices by balloon-occluded retrograde transvenous obliteration: a transjugular venous approachSurgery126581583PubMed

17.

Alberti, W 1931Uber den roentgenologischen nachweis von varizen in bulbus duodeniForsch Geb Rontgenstr436065

18.

Wheeler, HB, Warren, R 1957Duodenal varices due to portal hypertension from arteriovenous aneurysmAnn Surg146229238PubMedCrossRef

19.

Shearburn, EW, Cooper, DR 1966Duodenal varices treated by portacaval shuntArch Surg93425427PubMed

20.

Kanagawa, H, Mima, S, Kouyama, H, et al. 1991A successfully treated case of fundic varices by retrograde transvenous obliteration with balloonNippon Shokakibyo Gakkai Zasshi8814591462PubMed

21.

Sonomura, T, Horihata, K, Yamahara, K, et al. 2003Ruptured duodenal varices successfully treated with balloon-occluded retrograde transvenous obliteration: usefulness of microcathetersAm J Roentgenol181725727

22.

Ota, K, Okazaki, M, Higashihara, H, et al. 1999Combination of transileocolic vein obliteration and balloon-occluded retrograde transvenous obliteration is effective for ruptured duodenal varicesJ Gastroenterol34694699PubMedCrossRef

23.

Hashizume, M, Tanoue, K, Ohta, M, et al. 1993Vascular anatomy of duodenal varices: angiographic and histopathological assessmentsAm J Gastroenterol8819421945PubMed

Title: Bleeding Duodenal Varices Successfully Treated with Balloon-Occluded Retrograde Transvenous Obliteration (B-RTO) Assisted by CT During Arterial Portography
Authors: Masakatsu Tsurusaki
Koji Sugimoto
Shinichi Matsumoto
Kenta Izaki
Tetsuya Fukuda
Yoshinobu Akasaka
Masahiko Fujii
Shozo Hirota
Kazuro Sugimura
Publication date: 01-12-2006
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 6/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-004-0189-z

Keynote webinar | Spotlight on medication adherence

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Bleeding Duodenal Varices Successfully Treated with Balloon-Occluded Retrograde Transvenous Obliteration (B-RTO) Assisted by CT During Arterial Portography

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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