关键词： AVP2, amplatzer vascular plug 2 BATO BATO, balloon-occluded antegrade transvenous obliteration BRTO, balloon-occluded retrograde transvenous obliteration CT, computed tomography EIS, endoscopic injection sclerotherapy EUS, endoscopic ultrasound FFP, fresh frozen plasma HIPAA, Health Insurance Portability and Accountability Act ICU, intensive care unit IMV, inferior mesenteric vein NAFLD, non-alcoholic fatty liver disease Percutaneous transhepatic obliteration Portal hypertension Rectal varices SMV, superior mesenteric vein STS, sodium tetradecyl sulfate Sclerotherapy TIPS, trans-jugular intrahepatic portosystemic shunt US, ultrasound Variceal bleeding

来  源：   DOI：10.1016/j.radcr.2021.08.005   PDF(Sci-hub)   PDF(Pubmed)

Abstract：
Patients with liver cirrhosis frequently experience rectal variceal bleeding subsequent to portal hypertension. Unlike gastroesophageal variceal bleeding, a well-established guideline does not exist in terms of management of bleeding rectal varices. A 75-year-old male with non-alcoholic-steatohepatitis induced cirrhosis presented with a 3-day history of severe rectorrhagia. Considering patient\'s clinical history, TIPS was not performed and thus, a novel endovascular technique termed balloon-occluded antegrade transvenous obliteration was considered. Under conscious sedation, an occlusion was made through balloon catheter by sclerotic agents including air/sodium tetradecyl sulfate/Lipiodol. After the procedure, and in the 6 months follow up period the patient\'s hemodynamic status was stable and he recovered without any serious complications. Balloon-occluded antegrade transvenous obliteration is a feasible and safe modality for treating rectal varices bleeding and could be used as an alternative approach in patients with contraindications to traditional treatments.
摘要：
暂无翻译
公众号