Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case report
A 62-year-old man with liver cirrhosis presented with deterioration of liver function. Imaging studies revealed an arteriovenous malformation (AVM), with a dilated venous space, at the pancreatic head. Transarterial embolization of the AVM, using microcoils, was performed, although many feeding arte...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-07-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321002430 |
| _version_ | 1818561355319345152 |
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| author | Yasuyuki Onishi, MD Hiroyuki Kimura, MD, PhD Marina Shimizu, MD Shojiro Oka, MD Makoto Umeda, MD, PhD Toshiyuki Kimura, MD, PhD Mitsunori Kanagaki, MD, PhD |
| author_facet | Yasuyuki Onishi, MD Hiroyuki Kimura, MD, PhD Marina Shimizu, MD Shojiro Oka, MD Makoto Umeda, MD, PhD Toshiyuki Kimura, MD, PhD Mitsunori Kanagaki, MD, PhD |
| author_sort | Yasuyuki Onishi, MD |
| collection | DOAJ |
| description | A 62-year-old man with liver cirrhosis presented with deterioration of liver function. Imaging studies revealed an arteriovenous malformation (AVM), with a dilated venous space, at the pancreatic head. Transarterial embolization of the AVM, using microcoils, was performed, although many feeding arteries remained. As the transarterial embolization was incomplete, further liver function deterioration was a possibility. In fact, 1 year after the procedure, the patient was referred back to our hospital for treatment of massive ascites and liver function deterioration. Transportal embolization of the dilated venous space was performed, using microcoils via the recanalized paraumbilical vein, with no enhancement of the AVM. No complications occurred. Based on our experience, we propose transportal embolization as an effective treatment option for pancreatic AVM. |
| first_indexed | 2024-12-14T00:49:46Z |
| format | Article |
| id | doaj.art-b8cbcfe49e634cb9b10d324a5e66136e |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-14T00:49:46Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-b8cbcfe49e634cb9b10d324a5e66136e2022-12-21T23:23:55ZengElsevierRadiology Case Reports1930-04332021-07-0116717081711Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case reportYasuyuki Onishi, MD0Hiroyuki Kimura, MD, PhD1Marina Shimizu, MD2Shojiro Oka, MD3Makoto Umeda, MD, PhD4Toshiyuki Kimura, MD, PhD5Mitsunori Kanagaki, MD, PhD6Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan; Corresponding author.Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JapanDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JapanDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JapanDepartment of Gastroenterology and Hepatology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JapanDepartment of Gastroenterology and Hepatology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JapanDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JapanA 62-year-old man with liver cirrhosis presented with deterioration of liver function. Imaging studies revealed an arteriovenous malformation (AVM), with a dilated venous space, at the pancreatic head. Transarterial embolization of the AVM, using microcoils, was performed, although many feeding arteries remained. As the transarterial embolization was incomplete, further liver function deterioration was a possibility. In fact, 1 year after the procedure, the patient was referred back to our hospital for treatment of massive ascites and liver function deterioration. Transportal embolization of the dilated venous space was performed, using microcoils via the recanalized paraumbilical vein, with no enhancement of the AVM. No complications occurred. Based on our experience, we propose transportal embolization as an effective treatment option for pancreatic AVM.http://www.sciencedirect.com/science/article/pii/S1930043321002430Pancreatic arteriovenous malformationParaumbilical veinTransportal embolization |
| spellingShingle | Yasuyuki Onishi, MD Hiroyuki Kimura, MD, PhD Marina Shimizu, MD Shojiro Oka, MD Makoto Umeda, MD, PhD Toshiyuki Kimura, MD, PhD Mitsunori Kanagaki, MD, PhD Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case report Radiology Case Reports Pancreatic arteriovenous malformation Paraumbilical vein Transportal embolization |
| title | Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case report |
| title_full | Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case report |
| title_fullStr | Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case report |
| title_full_unstemmed | Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case report |
| title_short | Transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein: A case report |
| title_sort | transportal embolization for pancreatic arteriovenous malformation via a recanalized paraumbilical vein a case report |
| topic | Pancreatic arteriovenous malformation Paraumbilical vein Transportal embolization |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321002430 |
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