Browse > Article
http://dx.doi.org/10.3348/kjr.2014.15.2.250

N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma  

Sonomura, Tetsuo (Department of Radiology, Wakayama Medical University)
Kawai, Nobuyuki (Department of Radiology, Wakayama Medical University)
Kishi, Kazushi (Department of Radiology, Wakayama Medical University)
Ikoma, Akira (Department of Radiology, Wakayama Medical University)
Sanda, Hiroki (Department of Radiology, Wakayama Medical University)
Nakata, Kouhei (Department of Radiology, Wakayama Medical University)
Minamiguchi, Hiroki (Department of Radiology, Wakayama Medical University)
Nakai, Motoki (Department of Radiology, Wakayama Medical University)
Hosokawa, Seiki (Department of Radiology, Wakayama Medical University)
Tamai, Hideyuki (Department of Internal Medicine, Wakayama Medical University)
Sato, Morio (Department of Radiology, Wakayama Medical University)
Publication Information
Korean Journal of Radiology / v.15, no.2, 2014 , pp. 250-253 More about this Journal
Abstract
We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinpoint embolization of the shunt, because the microcatheter tip was 2 cm away from the shunt site. Under hepatic arterial flow control using a balloon catheter, the arterioportal shunt was successfully embolized with NBCA, which caused an improvement in the esophageal varices.
Keywords
Arterioportal shunt; Balloon catheter; Blood flow control; Embolization; N-butyl cyanoacrylate;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Idezuki Y. General rules for recording endoscopic findings of esophagogastric varices (1991). Japanese Society for Portal Hypertension. World J Surg 1995;19:420-422; discussion 423   DOI   ScienceOn
2 Livraghi T, Solbiati L, Meloni MF, Gazelle GS, Halpern EF, Goldberg SN. Treatment of focal liver tumors with percutaneous radio-frequency ablation: complications encountered in a multicenter study. Radiology 2003;226:441-451   DOI   ScienceOn
3 Lazaridis KN, Kamath PS. Images in hepatology. Arterioportal fistula causing recurrent variceal bleeding. J Hepatol 1998;29:142   DOI
4 Kerlan RK Jr, Bank WO, Hoddick WK, Pogany AC, Sollenberger RD. Occlusion of a hepatic artery to portal vein fistula with bucrylate. Cardiovasc Intervent Radiol 1983;6:138-140   DOI
5 Kanematsu M, Kondo H, Goshima S, Tsuge Y, Watanabe H, Moriyama N. Giant high-flow type pulmonary arteriovenous malformation: coil embolization with flow control by balloon occlusion and an anchored detachable coil. Korean J Radiol 2012;13:111-114   DOI
6 Strodel WE, Eckhauser FE, Lemmer JH, Whitehouse WM Jr, Williams DM. Presentation and perioperative management of arterioportal fistulas. Arch Surg 1987;122:563-571   DOI
7 Chen Q, Tack C, Morcos M, Ruggiero M, Schlossberg P, Fogel J, et al. Embolotherapy of an arterioportal fistula. Cardiovasc Intervent Radiol 2007;30:1047-1051   DOI
8 Applbaum YN, Renner JW. Steel coil embolization of hepatoportal fistulae. Cardiovasc Intervent Radiol 1987;10:75-79   DOI
9 Orons PD, Zajko AB, Jungrels CA. Arterioportal fistula causing portal hypertension and variceal bleeding: treatment with a detachable balloon. Vasc Interv Radiol 1994;5:373-376   DOI
10 Pollak JS, White RI Jr. The use of cyanoacrylate adhesives in peripheral embolization. Interv Radiol 2001;12:907-913   DOI   ScienceOn