Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report

Etsu Cho, MD; Hidenori Mitani, MD; Keigo Chosa, MD; Hideki Tomiyoshi, MD; Yasutaka Baba, MD; Kazuo Awai, MD

Radiology Case Reports (Nov 2023)

Transportal scleroembolization of hepatic arterioportal fistulas in a patient with portal hypertension: A case report

Etsu Cho, MD,
Hidenori Mitani, MD,
Keigo Chosa, MD,
Hideki Tomiyoshi, MD,
Yasutaka Baba, MD,
Kazuo Awai, MD

Affiliations

Etsu Cho, MD: Department of Radiology, National Hospital Organization Higashihiroshima Medical Center, 513 Saijochojike, Higashihiroshima, Hiroshima 739-0041, Japan; Corresponding author.
Hidenori Mitani, MD: Department of Diagnostic Radiology, Hiroshima University Hospital, Minami-ku, Hiroshima Japan
Keigo Chosa, MD: Department of Diagnostic Radiology, Hiroshima University Hospital, Minami-ku, Hiroshima Japan
Hideki Tomiyoshi, MD: Department of Radiology, National Hospital Organization Higashihiroshima Medical Center, 513 Saijochojike, Higashihiroshima, Hiroshima 739-0041, Japan
Yasutaka Baba, MD: Department of Diagnostic Radiology, Saitama Medical University International Medical Center, Hidaka, Saitama Japan
Kazuo Awai, MD: Department of Diagnostic Radiology, Hiroshima University Hospital, Minami-ku, Hiroshima Japan

Journal volume & issue: Vol. 18, no. 11
pp. 3783 – 3786

Abstract

Read online

We report a rare patient with portal hypertension who presented with esophageal- and gastric varices and refractory ascites due to hepatic arterioportal fistulas. Treatment by transportal scleroembolization using ethanolamine oleate and coils were successful. Pretreatment hepatofugal flow subsequently changed to hepatopetal flow and the symptoms of portal hypertension improved. We describe our endovascular treatment option for addressing hepatic arterioportal fistulas.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

About the journal

Abstract

Keywords