Ruptured Duodenal Varices Successfully Treated with Balloon-Occluded Retrograde Transvenous Obliteration: Usefulness of Microcatheters
Tetsuo Sonomura1,
Koushi Horihata1,
Kunihiro Yamahara2,
Toshio Dozaiku2,
Takashi Toyonaga2,
Takashi Hiroka2 and
Morio Sato3
1 Department of Radiology, Kishiwada Tokushukai Hospital, 4-27-1, Kamori-cho,
Kishiwada-shi 596-8522, Japan.
2 Department of Internal Medicine, Kishiwada Tokushukai Hospital, Kishiwada-shi
596-8522, Japan.
3 Department of Radiology, Wakayama Medical University, 811-1, Kimiidera,
Wakayama-shi 641-8510, Japan.

View larger version (138K):
[in a new window]
|
Fig. 1A. 77-year-old woman with duodenal varices. Contrast-enhanced CT
scan obtained before balloon-occluded retrograde transvenous obliteration
(BRTO) shows duodenal varices (arrow) and dilated draining veins.
|
|

View larger version (163K):
[in a new window]
|
Fig. 1B. 77-year-old woman with duodenal varices. Angiogram shows
duodenal varices and dilated right ovarian vein. Balloon catheter was inserted
into right ovarian vein via right femoral vein. During balloon occlusion, 5%
ethanolamine oleate with iopamidol (20 mL) was infused through microcatheter
(arrow).
|
|

View larger version (144K):
[in a new window]
|
Fig. 1C. 77-year-old woman with duodenal varices. Contrast-enhanced CT
scan obtained morning after BRTO shows complete thrombosis of varices and
draining veins.
|
|

View larger version (157K):
[in a new window]
|
Fig. 1D. 77-year-old woman with duodenal varices. Endoscopic image
obtained 1 week after BRTO shows large varix with redness in second portion of
duodenum.
|
|

View larger version (152K):
[in a new window]
|
Fig. 1E. 77-year-old woman with duodenal varices. Endoscopic image
obtained 4 months after BRTO shows size of varices is markedly reduced.
|
|

CiteULike
Complore
Connotea
Del.icio.us
Digg
Reddit
Technorati What's this?
Copyright © 2003 by the American Roentgen Ray Society.