N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma.
10.3348/kjr.2014.15.2.250
- Author:
Tetsuo SONOMURA
1
;
Nobuyuki KAWAI
;
Kazushi KISHI
;
Akira IKOMA
;
Hiroki SANDA
;
Kouhei NAKATA
;
Hiroki MINAMIGUCHI
;
Motoki NAKAI
;
Seiki HOSOKAWA
;
Hideyuki TAMAI
;
Morio SATO
Author Information
1. Department of Radiology, Wakayama Medical University, Wakayama 641-8510, Japan. sonomura@wakayama-med.ac.jp
- Publication Type:Case Reports
- Keywords:
Arterioportal shunt;
Balloon catheter;
Blood flow control;
Embolization;
N-butyl cyanoacrylate
- MeSH:
Aged;
Arteriovenous Fistula/etiology/radiography/*therapy;
Carcinoma, Hepatocellular/*surgery;
Catheter Ablation/*adverse effects;
Embolization, Therapeutic/*methods;
Enbucrilate/*therapeutic use;
Esophageal and Gastric Varices/etiology/*therapy;
Hepatic Artery/*abnormalities/radiography;
Humans;
Liver Neoplasms/*surgery;
Male;
Portal Vein/*abnormalities/radiography
- From:Korean Journal of Radiology
2014;15(2):250-253
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
