Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices
Bleeding rectal varices in cirrhotic patients with portal hypertension can be difficult to treat endoscopically or surgically. Transjugular intrahepatic portosystemic shunt creation offers a minimally invasive method to effectively decompress the portal system but may be contraindicated in patients...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-07-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043319301554 |
| _version_ | 1819088930830548992 |
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| author | David S. Shin, MD Andrew G. Kim, MD Christopher R. Ingraham, MD |
| author_facet | David S. Shin, MD Andrew G. Kim, MD Christopher R. Ingraham, MD |
| author_sort | David S. Shin, MD |
| collection | DOAJ |
| description | Bleeding rectal varices in cirrhotic patients with portal hypertension can be difficult to treat endoscopically or surgically. Transjugular intrahepatic portosystemic shunt creation offers a minimally invasive method to effectively decompress the portal system but may be contraindicated in patients with poor hepatic reserve or hepatic encephalopathy. We present a case of a 44-year-old woman with persistent rectal variceal bleeding, who was a poor candidate for endoscopic intervention, surgery, or transjugular intrahepatic portosystemic shunt. We therefore performed balloon-occluded antegrade transvenous obliteration of the rectal varices via transjugular intrahepatic access, which effectively controlled her rectal bleeding. Keywords: Rectal varices, Portal hypertension, Cirrhosis, Gastrointestinal bleeding, Balloon-occluded antegrade transvenous obliteration (BATO) |
| first_indexed | 2024-12-21T21:59:52Z |
| format | Article |
| id | doaj.art-053334d31ad94ee78d8183ae2ffe451f |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-21T21:59:52Z |
| publishDate | 2019-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-053334d31ad94ee78d8183ae2ffe451f2022-12-21T18:48:50ZengElsevierRadiology Case Reports1930-04332019-07-01147805808Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varicesDavid S. Shin, MD0Andrew G. Kim, MD1Christopher R. Ingraham, MD2Corresponding author.; Department of Radiology, University of Washington, Seattle, Washington, U.S.A. 1959 NE Pacific St, Box 357115, Seattle, WA 98195, USADepartment of Radiology, University of Washington, Seattle, Washington, U.S.A. 1959 NE Pacific St, Box 357115, Seattle, WA 98195, USADepartment of Radiology, University of Washington, Seattle, Washington, U.S.A. 1959 NE Pacific St, Box 357115, Seattle, WA 98195, USABleeding rectal varices in cirrhotic patients with portal hypertension can be difficult to treat endoscopically or surgically. Transjugular intrahepatic portosystemic shunt creation offers a minimally invasive method to effectively decompress the portal system but may be contraindicated in patients with poor hepatic reserve or hepatic encephalopathy. We present a case of a 44-year-old woman with persistent rectal variceal bleeding, who was a poor candidate for endoscopic intervention, surgery, or transjugular intrahepatic portosystemic shunt. We therefore performed balloon-occluded antegrade transvenous obliteration of the rectal varices via transjugular intrahepatic access, which effectively controlled her rectal bleeding. Keywords: Rectal varices, Portal hypertension, Cirrhosis, Gastrointestinal bleeding, Balloon-occluded antegrade transvenous obliteration (BATO)http://www.sciencedirect.com/science/article/pii/S1930043319301554 |
| spellingShingle | David S. Shin, MD Andrew G. Kim, MD Christopher R. Ingraham, MD Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices Radiology Case Reports |
| title | Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices |
| title_full | Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices |
| title_fullStr | Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices |
| title_full_unstemmed | Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices |
| title_short | Balloon-occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices |
| title_sort | balloon occluded antegrade transvenous obliteration via transjugular intrahepatic access for bleeding rectal varices |
| url | http://www.sciencedirect.com/science/article/pii/S1930043319301554 |
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