Bleeding from esophageal varices exacerbated by splenic arterial-venous fistula: Complete transcatheter obliterative therapy

Frederick S. Keller, Josef Rösch, Charles T. Dotter

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

A cirrhotic patient who had previously undergone both mesocaval shunting and transthoracic esophageal and gastric devascularization with splenectomy (Sugiura procedure) presented with recurring intractable variceal hemorrhage. Diagnostic visceral angiography demonstrated a large splenic arterial-venous fistula and gastroesophageal varices. Transarterial occlusion of the fistula and transhepatic obliteration of the varices successfully done at one sitting prevented further bleeding. Follow-up angiography nine months later revealed persistent occlusion of the previous fistula and no evidence of esophageal varices.

Original languageEnglish (US)
Pages (from-to)97-102
Number of pages6
JournalCardiovascular and interventional radiology
Volume3
Issue number2
DOIs
StatePublished - Apr 1 1980

Keywords

  • Catheters and catheterization
  • Esophagus, varices
  • Fistula, arteriovenous
  • Interventional radiology
  • Spleen, arteriovenous fistula

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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