Intrahepatic Portosystemic Venous Shunt: Successful Embolization Using the Amplatzer Vascular Plug II.
10.3348/kjr.2012.13.6.827
- Author:
Young Ju LEE
1
;
Byung Seok SHIN
;
In Ho LEE
;
Joon Young OHM
;
Byung Seok LEE
;
Moonsang AHN
;
Ho Jun KIM
Author Information
1. Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon 301-721, Korea. starzan@chollian.net
- Publication Type:Case Reports
- Keywords:
Hepatic encephalopathy;
Portosystemic shunt;
Surgical;
Embolization;
Therapeutic
- MeSH:
Aged;
Embolization, Therapeutic/*instrumentation/methods;
Female;
Hepatic Encephalopathy/etiology/*therapy;
Hepatic Veins/abnormalities/radiography;
Humans;
Liver Circulation;
Portal Vein/abnormalities/radiography;
*Septal Occluder Device
- From:Korean Journal of Radiology
2012;13(6):827-831
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 67-year-old woman presented with memory impairment and behavioral changes. Brain MRI indicated hepatic encephalopathy. Abdominal CT scans revealed an intrahepatic portosystemic venous shunt that consisted of two shunt tracts to the aneurysmal sac that communicated directly with the right hepatic vein. The large tract was successfully occluded by embolization using the newly available AMPLATZERTM Vascular Plug II and the small tract was occluded by using coils. The patient's symptoms disappeared after shunt closure and she remained free of recurrence at the 3-month follow-up evaluation.
