Balloon-occluded retrograde transvenous obliteration of gastric varix with multiple drainage veins performed with temporal occlusion of the pericardiacophrenic vein with a micro-balloon. (25th August 2015)

• Record Type: Journal Article
• Authors: Yamagami, Takuji; Iida, Makoto; Tanitame, Nobuko; Yoshimatsu, Rika; Ono, Chiaki; Waki, Koji; Tsuji, Keiji; Awai, Kazuo
• Is Part Of: Acta radiologica open. Volume 4:Number 8(2015)
• Publication Date: 2015-08-25
• Subjects: Balloon-occluded retrograde transvenous obliteration -- circumaortic venous ring -- gastric varix -- pericardiacophrenic vein; Radiology -- Periodicals; Diagnostic Imaging -- Periodicals; Radiology; Periodicals; 616.075705
• DOI: 10.1177/2047981614558328
• Languages: English
• ISSNs: 2058-4601

Abstract

We encountered a case with a gastric varix that drained into the gastro-renal shunt, left pericardiacophrenic vein, and several other dilated collateral veins. This patient had a circumaortic venous ring. For this case we successfully performed balloon-occluded retrograde transvenous obliteration in which sclerotic agents were infused from the balloon catheter advanced to the left pre-aortic renal vein and the tip was wedged into the end of the gastro-renal shunt. Before injection of sclerotic agents, collateral veins other than the left pericardiacophrenic vein were embolized with micro-coils. During the injection, the left pericardiacophrenic vein was occluded temporarily with a micro-balloon catheter coaxially advanced from the catheter inserted from the femoral vein to the left pericardiacophrenic vein through the left brachiocephalic vein.