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Ruptured high flow gastric varices with an intratumoral arterioportal shunt treated with balloon-occluded retrograde transvenous obliteration during temporary balloon occlusion of a hepatic artery

查看全文 作　　者：Motoki [1]Nakai;Morio [2]Sato;Hirohiko [2]Tanihata;Tetsuo [2]Sonomura;Shinya [2]Sahara;Nobuyuki [2]Kawai;Masashi [2]Kimura;Masaki [2]Terada 高影响力作者 机构地区：[1]Department of Radiology, Hidaka General Hospital 116-2 Sono, Gobo Shi, Wakayama 644-8655, Japan;[2]Department of Radiology, Wakayama Medical University 811-1, Kimiidera, Wakayama Shi, Wakayama 641-8510, Japan高影响力机构 出　　处：《World Journal of Gastroenterology》索引2006年第12卷第33期,共4页高影响力期刊 摘　　要：A patient presented with hematemesis due to gastric variceal bleeding with an intratumoral arterioportal shunt. Contrast-enhanced CT revealed gastric varices and hepatocellular carcinoma with tumor thrombi in the right portal vein. Angiography and angio-CT revealed a marked intratumoral arterioportal shunt accompanied with re? ux into the main portal vein and gastric varices. Balloon-occluded retrograde venography from the gastro-renal shunt showed no visualization of gastric varices due to rapid blood flow through the intratumoral arterioportal shunt. The hepatic artery was temporarily occluded with a balloon catheter to reduce the blood ? ow through the arterioportal shunt, and then concurrent balloon-occluded retrograde transvenous obliteration (BRTO) was achieved. Vital signs stabilized immediately thereafter, and contrast-enhanced CT revealed thrombosed gastric varices. Worsening of hepatic function was not recognized. BRTO combined with temporary occlusion of the hepatic artery is a feasible interventional procedure for ruptured high ? ow gastric varices with an intratumoral arterioportal shunt. 关 键 词：胃血管 静脉血管 肝细胞癌 病理
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