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Radiologic Variations in Gastrorenal Shunts and Collateral Veins from Gastric Varices in Images Obtained Before Balloon-Occluded Retrograde Transvenous Obliteration

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Abstract

Purpose

To investigate variations in the features of gastrorenal shunts and collateral veins shown by balloon-occluded retrograde venography (B-RTV) and by superior mesenteric and celiac arteriography.

Methods

A retrospective analysis was performed of the variation in these features on B-RTV and arteriography images obtained from 130 patients who have undergone these studies prior to balloon-occluded retrograde transvenous obliteration at our hospital since 1993.

Results

At least one gastrorenal shunt was revealed in 97% (126/130) of cases. Types of gastrorenal shunts observed were as follows: only one main gastrorenal shunt, 94% (118/126) of cases; two main gastrorenal shunts with a ring-like appearance, 3% (4/126); and some gastrorenal shunts to the left renal vein, 3% (4/126). Collateral veins detected were as follows: left inferior phrenic vein, 75% (95/126) of cases; pericardiacophrenic vein, 40% (50/126); gonadal vein, 13% (16/126); retroperitoneal veins, 65% (82/126).

Conclusion

It is very important to know the exact configuration of any gastrorenal shunts in order to guide advancement of the balloon catheter into the shunt and to avoid unexpected injection of the sclerosing agent.

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Authors and Affiliations

  1. Department of Radiology, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan

    Hiroaki Maeda, Shozo Hirota, Satoshi Yamamoto, Kaoru Kobayashi, Keisuke Arai, Yoshiya Miyamoto & Norio Nakao

  2. Department of Radiology, Kobe University, School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan

    Tetsuya Fukuda & Koji Sugimoto

  3. Department of Radiology, Hyogo Brain and Heart Center, 520, Saisho-ko, Himeji, Hyogo, 670-0981, Japan

    Tetsuya Fukuda

  4. Department of Radiology, Kobe Red Cross Hospital, 1-3-1, Wakihamakaigan-dori, Chuo-ku, Kobe, Hyogo, 651-0073, Japan

    Koji Sugimoto

Authors
  1. Hiroaki Maeda
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  2. Shozo Hirota
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  3. Satoshi Yamamoto
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  4. Kaoru Kobayashi
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  5. Keisuke Arai
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  6. Yoshiya Miyamoto
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  7. Tetsuya Fukuda
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  8. Koji Sugimoto
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  9. Norio Nakao
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Correspondence to Hiroaki Maeda.

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Maeda, H., Hirota, S., Yamamoto, S. et al. Radiologic Variations in Gastrorenal Shunts and Collateral Veins from Gastric Varices in Images Obtained Before Balloon-Occluded Retrograde Transvenous Obliteration. Cardiovasc Intervent Radiol 30, 410–414 (2007). https://doi.org/10.1007/s00270-005-0362-z

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  • DOI: https://doi.org/10.1007/s00270-005-0362-z

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