Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices

Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices

The standard treatment for ruptured duodenal varices remains to be established. Emergency balloon-occluded retrograde transvenous obliteration is challenging in patients with bleeding because re-rupture of varices can occur due to increased pressure when using the retrograde approach. Herein, we des...

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Bibliographic Details
Main Authors: Atsushi Jogo, MD, PhD, Akira Yamamoto, MD, PhD, Ken Kageyama, MD, PhD, Fumi Sasaki, MD, Tatsushi Oura, MD, Yasuhito Mitsuyama, MD, Eisaku Terayama, MD, Kazuki Matsushita, MD, Kazuo Asano, MD, Yuki Sakai, MD, Masanori Ozaki, MD, Shohei Harada, MD, Kazuki Murai, MD, PhD, Mariko Nakano, MD, PhD, Etsuji Sohgawa, MD, Ryuichi Kita, MD, PhD, Toshio Kaminou, MD, PhD, Yukio Miki, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Radiology Case Reports
Subjects:
Ruptured duodenal varices
Balloon-occluded retrograde transvenous obliteration
Afferent vein embolization
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323006143
Description
Summary:The standard treatment for ruptured duodenal varices remains to be established. Emergency balloon-occluded retrograde transvenous obliteration is challenging in patients with bleeding because re-rupture of varices can occur due to increased pressure when using the retrograde approach. Herein, we describe a case in which a catheter was retrogradely advanced to the afferent vein beyond bleeding duodenal varices; however, the varices re-ruptured during coil embolization, and a part of the catheter was deviated into the intestinal tract. The rupture site was embolized by liquid embolic materials from the microcatheter. Embolization via retrograde approach needs to be carefully performed.
ISSN:1930-0433

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