Successful Embolization of Bleeding Ileal Varices with N-butyl Cyanoacrylate via a Recanalized Paraumbilical Vein.
Yasuyuki OnishiHiroyuki KimuraMitsunori KanagakiShojiro OkaGenki FukumotoTomoaki OtaniNaoko MatsubaraKazuna KawabataMio NamikawaTakeshi MatsumuraToshiyuki KimuraPublished in: Cardiovascular and interventional radiology (2018)
A 48-year-old woman with alcoholic liver cirrhosis was admitted to our hospital because of hematochezia and severe anemia. She had been hospitalized many times over the past year for hematochezia of unknown etiology. Contrast-enhanced CT demonstrated ileal varices, which were fed by several ileal veins. These feeding veins were selectively embolized with N-butyl cyanoacrylate (NBCA) via a recanalized paraumbilical vein. The paraumbilical vein instead of the portal vein was punctured to decrease the risk of bleeding complications because she had coagulopathy and ascites. We consider antegrade embolization of ileal varices with NBCA to be a feasible and effective treatment. Access via a paraumbilical vein is an alternative to the transhepatic approach.Level of Evidence Level V, case report.
Keyphrases
- contrast enhanced
- magnetic resonance imaging
- computed tomography
- case report
- diffusion weighted
- magnetic resonance
- atrial fibrillation
- chronic kidney disease
- diffusion weighted imaging
- healthcare
- dual energy
- inferior vena cava
- emergency department
- positron emission tomography
- image quality
- pulmonary embolism
- liver injury
- drug induced
- combination therapy