Successful Embolization of a Spontaneous Mesocaval Shunt Using the Amplatzer Vascular Plug II
- 222 Downloads
A 48-year-old man with alcoholic liver cirrhosis and hepatic encephalopathy was found to have a large, spontaneous mesocaval shunt. The shunt was successfully occluded with the use of an Amplatzer Vascular Plug. To our knowledge, this is the first report of the use of this device to embolize a mesocaval shunt involving the superior mesenteric vein.
KeywordsHepatic encephalopathy Mesocaval shunt Amplatzer Vascular Plug Embolization Portosystemic shunt Portal hypertension
The authors thank Nuria Albero for her support with the material and Cristina Losada and Fernando Muñoz for their help in figure acquisition.
- 6.Ferenci P, Lockwood A, Mullen K, et al. (2002) Hepatic encephalopathy—definition, nomenclature, diagnosis, and quantification: final report of the working party at the 11th World Congresses of Gastroenterology, Vienna, 1998. Hepatology 35(3):716–721Google Scholar
- 12.Meyer C, Probst C, Strunk H, et al. (2009) Second-generation Amplatzer Vascular Plug (AVP) for the treatment of subsequent subclavian backflow Type II endoleak after TEVAR. Cardiovasc Interv Radiol [Epub ahead of print]Google Scholar