Tsurusaki Masakatsu, Kotera Taku, Kozuki Ryohei, Urase Atsushi, Hirayama Ayumi, Sofue Keitaro, Murakami Takamichi
Department of Radiology, Kindai University, Faculty of Medicine, Japan.
Department of Radiology, Kobe University, Graduate School of Medicine, Japan.
Interv Radiol (Higashimatsuyama). 2023 Jun 3;8(2):75-79. doi: 10.22575/interventionalradiology.2022-0021. eCollection 2023 Jul 1.
We present a case of gastric varices successfully treated with modified plug-assisted retrograde transvenous obliteration. A 45-year-old male patient had isolated fundal gastric varices caused by alcoholic cirrhosis. Contrast-enhanced computed tomography showed that the gastric varices were drained mainly via the gastro-renal shunt. The gastric varices were treated via plug-assisted retrograde transvenous obliteration using an IMPEDE vascular plug with a modified coil-assisted retrograde transvenous obliteration-II procedure. There were no complications during the procedure, and an endoscopic examination 3 months after the procedure revealed that the gastric varices had disappeared. To our knowledge, this is the first report on the application of plug-assisted retrograde transvenous obliteration-II using a newly designed IMPEDE vascular plug to avoid migration of the sclerosant.
我们报告一例采用改良经颈静脉肝内门体分流术成功治疗胃静脉曲张的病例。一名45岁男性患者因酒精性肝硬化导致孤立性胃底静脉曲张。增强计算机断层扫描显示，胃静脉曲张主要通过胃肾分流引流。采用IMPEDE血管封堵器，通过改良的弹簧圈辅助逆行经静脉闭塞-II手术进行经颈静脉肝内门体分流术治疗胃静脉曲张。手术过程中无并发症，术后3个月的内镜检查显示胃静脉曲张已消失。据我们所知，这是首例关于使用新设计的IMPEDE血管封堵器应用改良经颈静脉肝内门体分流术-II以避免硬化剂迁移的报告。
