Int J Gastrointest Interv.
2023 Nov;12(4):192-195. 10.18528/ijgii230038.
Percutaneous transvenous obliteration for duodenal variceal bleeding using micro-balloon catheter and n-butyl cyanoacrylate: A case report
- Affiliations
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- 1Department of Radiology, Ewha Womans Mokdong Hospital, College of Medicine, Ewha Womans University, Seoul, Korea
- 2Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- KMID: 2547835
- DOI: http://doi.org/10.18528/ijgii230038
Abstract
- Owing to heavy blood flow originating from the portal vein and the technical difficulties associated with hemostatic procedures, duodenal varix is associated with high mortality and a poor prognosis. Percutaneous transvenous obliteration (PTO) has been used effectively to treat duodenal varices by providing direct control of duodenal variceal bleeding. This report describes a patient who experienced duodenal variceal bleeding that was successfully managed by PTO using a micro-balloon catheter, which can occlude the proximal afferent vein of the duodenal varix. Moreover, this technique can offer a more effective injection of n-butyl cyanoacrylate by blocking the inflow and preventing any reflux associated with duodenal variceal bleeding.
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