Coil-assisted retrograde transvenous obliteration of gastric varices by an inverted catheter tip technique via the pericardiophrenic vein

Kazuo Asano, MD; Atsushi Jogo, MD, PhD; Yukimasa Sakai, MD, PhD; Akira Yamamoto, MD, PhD; Shinsaku Yata, MD, PhD; Toshio Kaminou, MD, PhD; Sami Okahashi, MD; Mariko Nakano, MD, PhD; Mineyoshi Nango, MD, PhD; Ken Kageyama, MD, PhD; Etsuji Sohgawa, MD; Yukio Miki, MD, PhD

Radiology Case Reports (Jan 2023)

Coil-assisted retrograde transvenous obliteration of gastric varices by an inverted catheter tip technique via the pericardiophrenic vein

Kazuo Asano, MD,
Atsushi Jogo, MD, PhD,
Yukimasa Sakai, MD, PhD,
Akira Yamamoto, MD, PhD,
Shinsaku Yata, MD, PhD,
Toshio Kaminou, MD, PhD,
Sami Okahashi, MD,
Mariko Nakano, MD, PhD,
Mineyoshi Nango, MD, PhD,
Ken Kageyama, MD, PhD,
Etsuji Sohgawa, MD,
Yukio Miki, MD, PhD

Affiliations

Kazuo Asano, MD: Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan; Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka City University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan
Atsushi Jogo, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan; Corresponding author.
Yukimasa Sakai, MD, PhD: Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan
Akira Yamamoto, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan
Shinsaku Yata, MD, PhD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 86 Nishicho, Yonago, Tottori 683-8503, Japan
Toshio Kaminou, MD, PhD: Advanced Imaging & Minimally Invasive Therapy Center, Tsukazaki Hospital, 68-1 Aboshikuwaku, Himeji, Hyogo 671-1227, Japan
Sami Okahashi, MD: Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan
Mariko Nakano, MD, PhD: Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan
Mineyoshi Nango, MD, PhD: Department of Radiology, National Hospital Organization Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan
Ken Kageyama, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan
Etsuji Sohgawa, MD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan
Yukio Miki, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahimachi, Abenoku, Osaka 545-8585, Japan

Journal volume & issue: Vol. 18, no. 1
pp. 200 – 204

Abstract

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A 70-year-old woman with liver cirrhosis was admitted to our hospital for treatment of growing gastric varices in the fundus. Computed tomography showed gastric varices continuously draining the pericardiophrenic vein via the inferior phrenic vein. Balloon-occluded retrograde transvenous obliteration by a transjugular approach was planned. However, a conventional balloon catheter or microballoon catheter could not be inserted into the efferent vein near the varices because of the narrowness and tortuosity of the vein. Hence, coil-assisted retrograde transvenous obliteration was performed by an inverted catheter tip technique using a single conventional microcatheter. This technique might be useful for cases in which it is difficult to insert a balloon catheter into the efferent vein.

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: https://www.sciencedirect.com/journal/radiology-case-reports

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