International Journal of Colorectal Disease

, Volume 20, Issue 1, pp 67–71 | Cite as

Palliative portal vein stent placement for lymphatic recurrence of gastric cancer

  • J.-P. Heyne
  • S. O. R. Pfleiderer
  • G. Trebing
  • J. Scheele
  • W. A. Kaiser
Case Report

Abstract

Introduction

Percutaneous transhepatic stenting of the main portal vein is a rare intervention.

Case report

In the current patient, percutaneous angioplasty and stenting of a main portal vein stenosis due to lymphatic recurrence of gastric cancer ameliorated the progressing therapeutic restriction. The wall stent achieved portal venous patency that enabled ongoing chemotherapy. The stent remained patent for the entire subsequent survival period.

Keywords

Stent Portal vein Gastric cancer 

References

  1. 1.
    Coons H (1992) Metallic stents for the treatment of biliary obstruction: a report of 100 cases. Cardiovasc Intervent Radiol 15:367–374PubMedGoogle Scholar
  2. 2.
    Yamakado K, Tanaka N, Nakasuka A, Matsumura K, Takase K, Takeda K (1999) Clinical efficacy of portal vein stent placement in patients with hepatocellular carcinoma invading the main portal vein. J Hepatol 30:660–668CrossRefPubMedGoogle Scholar
  3. 3.
    Yamakado K, Nakatsuka A, Tanaka N, Fujii A, Isaji S, Kawarada Y, Takeda K (2001) Portal venous stent placement in patients with pancreatic and biliary neoplasms invading portal veins and causing portal hypertension: initial experience. Radiology 220:150–156PubMedGoogle Scholar
  4. 4.
    Olcott EW, Ring EJ, Roberts JP, Ascher NL, Lake JR, Gordon LR (1990) Percutaneous transhepatic portal vein angioplasty and stent placement after liver transplantation: early experience. J Vasc Interv Radiol 1:17–22PubMedGoogle Scholar
  5. 5.
    Cherukuri R, Haskal ZJ, Naji A, Shaked A (1998) Percutaneous thrombolysis and stent placement for the treatment of portal vein thrombosis after liver transplantation. Transplantation 65:1124–1137CrossRefPubMedGoogle Scholar
  6. 6.
    Mathias K, Bolder U, Lohlein D, Jäger H (1993) Percutaneous transhepatic angioplasty and stent implantation for prehepatic portal vein obstruction. Cardiovasc Intervent Radiol 16:313–315PubMedGoogle Scholar
  7. 7.
    Bilbao JI, Ruza M, Longo JM (1994) Percutaneous transhepatic stenting by Wallstents of portal vein and bile duct stenoses caused by immunoblastic sarcoma in a liver transplantation. Cardiovasc Intervent Radiol 17:210–213PubMedGoogle Scholar
  8. 8.
    Brady TM, Swischuk JL, Castaneda F, Smouse HB, Fox PF (2000) Central venous thrombolysis/PTA/Stenting. Sem Int Radiol 17:121–138CrossRefGoogle Scholar
  9. 9.
    Chunqing Z, Gouquan Z, Zhaohai W, Chengyong Q (1999) Ultrasonically guided percutaneous transhepatic hepatic vein stent placement for Budd-Chiary Syndrome. J Vasc Interv Radiol 10:933–940PubMedGoogle Scholar
  10. 10.
    Watanabe Y, Sato M, Abe Y, Ueda S, Kashu H, Nakamura Y, Kawachi K (1998) Metallic stents for low invasive recanalization of the portal veins with cancerous invasion—first case report. Hepato-Gastroenterology 45:551–553Google Scholar
  11. 11.
    Kaneoka Y, Yamaguchi A, Isogai M, Hori A (1998) Intraportal stent placement combined with right portal vein embolization against advanced gallbladder carcinoma. Jpn J Surg 28:862–865CrossRefGoogle Scholar
  12. 12.
    Scheele J (2001) Anatomical and atypical liver resection. Chirurgie 72:113–124CrossRefGoogle Scholar
  13. 13.
    Yamakado K, Nakatsuka A, Tanaka N, Fujii A, Terada N, Takeda K (2001) Malignant portal venous obstructions treated by stent placement: significant factors affecting patency. J Vasc Interv Radiol 12:1407–1415PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • J.-P. Heyne
    • 1
  • S. O. R. Pfleiderer
    • 1
  • G. Trebing
    • 2
  • J. Scheele
    • 2
  • W. A. Kaiser
    • 1
  1. 1.Institute of Diagnostic and Interventional RadiologyFriedrich-Schiller-University JenaJenaGermany
  2. 2.Department of General and Visceral SurgeryFriedrich-Schiller-University JenaJenaGermany

Personalised recommendations