Therapeutic embolization of intrahepatic portosystemic shunts by retrograde transcaval catheterization |
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| Authors: | Tohru Maeda M.D. Hiromu Mori Hisayuki Aikawa Eiji Komatsu Kouichi Kagawa |
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| Affiliation: | (1) Department of Radiology, Shinbeppu-Hospital, 3898 Tsurumi, 874 Beppu City, Oita, Japan;(2) Department of Radiology, Oita Medical University, 870 Hasama, Oita, Japan;(3) Department of Internal Medicine, Shinbeppu-Hospital, 3898 Tsurumi, 874 Beppu City, Oita, Japan |
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| Abstract: | A 57-year-old woman presented with hepatic encephalopathy, cirrhosis, and a dual-channel portosystemic venous shunt (PSVS). The shunt was treated successfully by embolization with steel coils via retrograde systemic venous access. Encephalopathy resolved. This new approach is considered safer than the previously reported percutaneous transhepatic route or the mesenteric venous route, requiring a mini-laparotomy. |
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| Keywords: | Cirrhosis, portal veins Hepatic vein Portosystemic shunt Embolization Hepatic encephalopathy |
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