Skip to main content
Log in

Dual Balloon-Occluded Retrograde Transvenous Obliteration of Gastric Varix Draining into the Left Adrenal Vein and Left Inferior Phrenic Vein

  • Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

A 66-year-old woman with a gastric varix, draining into a dilated left adrenal vein and a left inferior phrenic vein, was treated with dual balloon-occluded retrograde transvenous obliteration (B-RTO). Under balloon occlusion of the left adrenal vein and the left inferior phrenic vein, retrograde injection of a sclerosant (5% ethanolamine oleate) into the gastric varix was performed. Two weeks later, disappearance of flow in the gastric varix was confirmed on endoscopic ultrasound examination.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.

References

  1. H Kanagawa S Mima H Kouyama K Gotoh T Uchida K Okuda (1996) ArticleTitleTreatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration J Gastroenterol Hepatol 11 51–58 Occurrence Handle1:STN:280:BymB28rkvVU%3D Occurrence Handle8672742

    CAS  PubMed  Google Scholar 

  2. H Kawanaka M Ohta M Hashizume M Tomikawa H Higashi F Kishihara K Sugimachi M Tokumatsu (1995) ArticleTitlePortosystemic encephalopathy treated with balloon-occluded retrograde transvenous obliteration Am J Gastroenterol 90 508–510 Occurrence Handle1:STN:280:ByqC2sjhsVI%3D Occurrence Handle7872302

    CAS  PubMed  Google Scholar 

  3. K Koito T Namieno T Nagakawa K Morita (1996) ArticleTitleBalloon-occluded retrograde transvenous obliteration for gastric varices with gastrorenal or gastrocaval collaterals AJR 167 1317–1320 Occurrence Handle1:STN:280:ByiD28joslI%3D Occurrence Handle8911204

    CAS  PubMed  Google Scholar 

  4. T Sonomura M Sato K Kishi M Terada Y Shioyama M Kimura K Suzuki Y Kutsukake T Ushimi J Tanaka S Hayashi S Tanaka (1998) ArticleTitleBalloon-occluded retrograde transvenous obliteration for gastric varices: a feasibility study Cardiovasc Intervent Radiol 21 27–30

    Google Scholar 

  5. M Kitamoto M Imamura K Kamada H Aikata Y Kawakami A Matsumoto Y Kurihara H Kono H Shirakawa T Nakanishi K Ito K Chayama (2002) ArticleTitleBalloon-occluded retrograde transvenous obliteration of gastric fundal varices with hemorrhage AJR 178 1167–1174 Occurrence Handle11959725

    PubMed  Google Scholar 

  6. K Takahashi T Yamada H Hyodoh T Yoshikawa R Katada K Nagasawa T Aburano (2001) ArticleTitleSelective balloon-occluded retrograde sclerosis of gastric varices using a coaxial microcatheter system AJR 177 1091–1093 Occurrence Handle1:STN:280:DC%2BD3MngvVyhtw%3D%3D Occurrence Handle11641177

    CAS  PubMed  Google Scholar 

  7. S Hirota S Matsumoto M Tomita M Sako M Kono (1999) ArticleTitleRetrograde transvenous obliteration of gastric varices Radiology 211 349–356

    Google Scholar 

  8. T Fukuda S Hirota K Sugimura (2001) ArticleTitleLong-term results of balloon-occluded retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathy J Vasc Interv Radiol 12 327–336

    Google Scholar 

  9. K Ibukuro K Mori T Tsukiyama Y Inoue Y Iwamoto K Tagawa (1999) ArticleTitleBalloon-occluded retrograde transvenous obliteration of gastric varix draining via the left inferior phrenic vein into the left hepatic vein Cardiovasc Intervent Radiol 22 415–417

    Google Scholar 

  10. M Hashizume S Kitano H Yamaga K Sugimachi (1988) ArticleTitleHaptoglobin to protect against renal damage from ethanolamine oleate sclerosant Lancet 2 340–341 Occurrence Handle10.1016/S0140-6736(88)92400-2 Occurrence Handle1:STN:280:BieB1cjnsVw%3D Occurrence Handle2899760

    Article  CAS  PubMed  Google Scholar 

  11. A Matsumoto M Kitamoto M Imamura T Nakanishi C Ono K Ito G Kajiyama (2001) ArticleTitleThree-dimensional portography using multislice helical CT is clinically useful for management of gastric fundic varices AJR 176 899–905 Occurrence Handle1:STN:280:DC%2BD3M7msF2lsQ%3D%3D Occurrence Handle11264074

    CAS  PubMed  Google Scholar 

  12. N Nishida G Sakai A Morimoto M Isota T Kaminou T Matsuoka K Nakamura R Yamada (2001) ArticleTitleGadolinium-enhanced three-dimensional magnetic resonance portography with subtraction Br J Radiol 74 147–152

    Google Scholar 

  13. HK Kang YY Jeong JH Choi S Choi TW Chung JJ Seo JK Kim W Yoon JG Park (2002) ArticleTitleThree-dimensional multi-detector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis Radiographics 22 1053–1061 Occurrence Handle12235335

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Norifumi Nishida.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nishida, N., Ninoi, T., Kitayama, T. et al. Dual Balloon-Occluded Retrograde Transvenous Obliteration of Gastric Varix Draining into the Left Adrenal Vein and Left Inferior Phrenic Vein. CVIR 27, 560–562 (2004). https://doi.org/10.1007/s00270-004-0185-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-004-0185-3

Navigation