Gastric varices with spontaneous gastrorenal shunt:treated by retrograde gastrorenal shunt balloon occlusion combined with percutaneous transhepatic gastric varices embolization
10.3760/cma.j.issn.1005-1201.2011.04.012
- VernacularTitle:球囊逆行阻断胃肾分流道联合经皮肝穿胃静脉栓塞治疗伴胃肾分流道的胃静脉曲张
- Author:
Feng DUAN
;
Maoqiang WANG
;
Fengyong LIU
;
Zhijun WANG
;
Peng SONG
;
Yan WANG
- Publication Type:Journal Article
- Keywords:
Esophageal and gastric varices;
Embolization,therapeutic
- From:
Chinese Journal of Radiology
2011;45(4):375-378
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and the safety of retrograde gastrorenal shunt balloon occlusion combined with percutaneous transhepatic gastric varices embolization to treat the gastric varices with spontaneous gastrorenal shunt. Methods From Nov. 2006 to Jun. 2010, retrograde gastrorenal shunt balloon occlusion combined with percutaneous transhepatic gastric varices embolization was performed on 8 patients who had gastric varices with spontaneous gastrorenal shunt. All the patients were men and the age ranged from 40 to 61 years. The balloon catheter was inserted into the spontaneous gastrorenal shunt through the right femoral vein, then percutaneous transhepatic splenic vein venograghy was performed to identify the number and morphology of gastric varices. After that gastric varices embolization was performed while the balloon catheter was dilated, which was withdrawn one day after the procedure. Results Technical success of interventional treatment was achieved in all 8 cases with no significant complications. The increase of average portal venous pressure was 5.5 cm H2O (1 cm H2O = 0. 098 kPa,preoperative 35.0 to 41.0 cm H2O,postoperative 39.0 to 45.5 cm H2O). After follow up of 1 to 46 months, no recurrence haemorrhage occurred. Conclusion Retrograde gastrorenal shunt balloon occlusion combined with percutaneous transhepatie gastric variees embolization can be safely performed and could be one of the effective choices for patients who had gastric varices with spontaneous gastrorenal shunt, which is not suitable to treat by the endoscopic sclerotherapy.
