Trans-splenic percutaneous glue embolization of bleeding gastric varices in the setting of malignant sinistral portal hypertension Journal Article
| Authors: | Zhao, K.; Son, S. Y.; Sarkar, D.; Santos, E. G. |
| Article Title: | Trans-splenic percutaneous glue embolization of bleeding gastric varices in the setting of malignant sinistral portal hypertension |
| Abstract: | Sinistral portal hypertension, also known as left-sided portal hypertension, is a rare cause of gastric variceal bleeding which occurs secondary to occlusion of the splenic vein. We present a case of venous occlusion and sinistral portal hypertension secondary to distal pancreatic cancer requiring treatment of gastric variceal bleeding. After failing conservative management, transvenous intervention was attempted, but a venous communication with the gastric varices was unable to be identified on multiple venograms. A percutaneous trans-splenic approach using a 21-G needle and ultrasound guidance was successful in directly accessing an intraparenchymal vein feeding the gastric varices, and glue embolization was performed directly through the access needle with excellent results. © The Author(s) 2024. |
| Keywords: | adult; clinical article; aged; case report; pancreas cancer; bleeding; surgical approach; conservative treatment; echography; comorbidity; melena; portal hypertension; stomach varices; balloon occlusion; vein occlusion; phlebography; coil embolization; arterial embolization; recanalization; human; male; article; artificial embolization; splenic artery; left stomach vein; glue; gastric varices; sinistral portal hypertension; trans-splenic percutaneous glue embolization |
| Journal Title: | CVIR Endovascular |
| Volume: | 7 |
| ISSN: | 2520-8934 |
| Publisher: | Springer Nature |
| Date Published: | 2024-12-01 |
| Start Page: | 58 |
| Language: | English |
| DOI: | 10.1186/s42155-024-00467-1 |
| PROVIDER: | scopus |
| PMCID: | PMC11283442 |
| PUBMED: | 39066948 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Ken Zhao -- Source: Scopus |
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