Balloon-occluded retrograde transvenous obliteration (BRTO) for a direct shunt between the inferior mesenteric vein and the inferior vena cava in a patient with hepatic encephalopathy

Kenji Ibukuro; Toru Sugihara; Rei Tanaka; Hozumi Fukuda; Shoko Abe; Kimiko Tobe; Ryosuke Tateishi; Kazumi Tagawa

doi:10.1016/j.jvir.2006.10.002

Balloon-occluded retrograde transvenous obliteration (BRTO) for a direct shunt between the inferior mesenteric vein and the inferior vena cava in a patient with hepatic encephalopathy

J Vasc Interv Radiol. 2007 Jan;18(1 Pt 1):121-5. doi: 10.1016/j.jvir.2006.10.002.

Authors

Kenji Ibukuro¹, Toru Sugihara, Rei Tanaka, Hozumi Fukuda, Shoko Abe, Kimiko Tobe, Ryosuke Tateishi, Kazumi Tagawa

Affiliation

¹ Department of Radiology, Mitsui Memorial Hospital, Tokyo, Japan. kj-ibkr@qd6.so-net.ne.jp

PMID: 17296712
DOI: 10.1016/j.jvir.2006.10.002

Abstract

A direct shunt between the inferior mesenteric vein and the inferior vena cava was detected in a patient with hepatic encephalopathy. The authors performed balloon-occluded retrograde transvenous obliteration (BRTO) for this shunt. Before the obliteration, the shunt was occluded by using a balloon catheter and it was confirmed that the portal venous flow was redirected to the liver. The encephalopathy disappeared immediately after BRTO. The improvement of the liver function, the disappearance of the shunt, and the increase in the size of the portal vein and liver volume were confirmed at computed tomography performed 5 months after treatment.

Publication types

Case Reports

MeSH terms

Aged
Arteriovenous Fistula / diagnosis
Arteriovenous Fistula / therapy*
Balloon Occlusion / methods*
Esophageal and Gastric Varices / diagnosis
Esophageal and Gastric Varices / therapy*
Female
Hepatic Encephalopathy / etiology
Hepatic Encephalopathy / therapy
Hepatitis C / complications
Humans
Mesenteric Veins / abnormalities*
Vena Cava, Inferior / abnormalities*