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Percutaneous transsplenic balloon dilatation for stenotic distal splenorenal shunt

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Abstract

A 27 year old cirrhotic male underwent stenosis of the distal splenorenal shunt to treat bleeding of esophageal varices. Percutaneous transluminal angioplasty was performed first by catheterization of the right femoral vein, but without success. Therefore, a direct puncture of the splenic vein through the spleen was made, under sonographic guidance, followed by balloon dilatation of the stenotic anastomosis. The pressure of the splenic vein before and after PTA was 35 and 29 cm H2O, respectively. Both the follow-up barium esophagogram and esophagoscopy showed marked regression of the esophageal varices.

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Authors and Affiliations

  1. Department of Radiology, National Taiwan University Hospital, Taipei, Republic of China

    Yuk-Ming Tsang, Wai-Yee Au, Chia-Mei Chen & Kou-Mou Hwang

  2. Department of Surgery, National Taiwan University Hospital, Taipei, Republic of China

    Pei-Yeh Cheng & Ta-Cheng Wei

Authors
  1. Yuk-Ming Tsang
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  2. Wai-Yee Au
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  3. Chia-Mei Chen
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  4. Kou-Mou Hwang
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  5. Pei-Yeh Cheng
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  6. Ta-Cheng Wei
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Tsang, YM., Au, WY., Chen, CM. et al. Percutaneous transsplenic balloon dilatation for stenotic distal splenorenal shunt. The Japanese Journal of Surgery 15, 395–398 (1985). https://doi.org/10.1007/BF02469936

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  • DOI: https://doi.org/10.1007/BF02469936

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