Korean Journal of Radiology

  • 제15권2호
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  • Pages.250-253
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  • 2014
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma

  • Sonomura, Tetsuo (Department of Radiology, Wakayama Medical University) ;
  • Kawai, Nobuyuki (Department of Radiology, Wakayama Medical University) ;
  • Kishi, Kazushi (Department of Radiology, Wakayama Medical University) ;
  • Ikoma, Akira (Department of Radiology, Wakayama Medical University) ;
  • Sanda, Hiroki (Department of Radiology, Wakayama Medical University) ;
  • Nakata, Kouhei (Department of Radiology, Wakayama Medical University) ;
  • Minamiguchi, Hiroki (Department of Radiology, Wakayama Medical University) ;
  • Nakai, Motoki (Department of Radiology, Wakayama Medical University) ;
  • Hosokawa, Seiki (Department of Radiology, Wakayama Medical University) ;
  • Tamai, Hideyuki (Department of Internal Medicine, Wakayama Medical University) ;
  • Sato, Morio (Department of Radiology, Wakayama Medical University)
  • 투고 : 2013.09.20
  • 심사 : 2013.11.28
  • 발행 : 2014.04.01
⟨ 이전 논문 다음 논문 ⟩

초록

We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinpoint embolization of the shunt, because the microcatheter tip was 2 cm away from the shunt site. Under hepatic arterial flow control using a balloon catheter, the arterioportal shunt was successfully embolized with NBCA, which caused an improvement in the esophageal varices.

키워드

참고문헌

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피인용 문헌

  1. Changes in Doppler parameters of portal pressure after interventional management of hepatocellular carcinoma vol.41, pp.8, 2016, https://doi.org/10.1007/s00261-016-0704-0
  2. A successful case of deceased donor liver transplantation for a patient with intrahepatic arterioportal fistula vol.46, pp.13, 2014, https://doi.org/10.1111/hepr.12701
  3. Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report vol.40, pp.4, 2017, https://doi.org/10.1007/s00270-016-1530-z
  4. Spontaneous closure of an intrahepatic arterioportal fistula: A case report vol.58, pp.7, 2014, https://doi.org/10.2957/kanzo.58.393
  5. Endovascular management for significant iatrogenic portal vein bleeding vol.58, pp.11, 2017, https://doi.org/10.1177/0284185117693458
  6. Microballoon-related interventions in various endovascular treatments of body trunk lesions vol.27, pp.1, 2018, https://doi.org/10.1080/13645706.2017.1398174
  7. Arterioportal Fistulas (APFs) in Pediatric Patients: Single Center Experience with Interventional Radiological versus Conservative Management and Clinical Outcomes vol.10, pp.12, 2021, https://doi.org/10.3390/jcm10122612