Percutaneous transhepatic obliteration of gastroesophageal varices

Some technical aspects

Frederick Keller, C. T. Dotter, Josef Rosch

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Two cases of bleeding from gastroesophageal varices treated by variceal obliteration illustrate multiple routes of variceal supply, and alert embolizing angiographers to the presence of spontaneous portosystemic shunts which should be kept open. In one case, variceal obliteration required embolization of the left gastric vein and a transhepatic collateral originating from the left hepatic portal branch and contributing substantially to variceal filling. A second patient with a relatively large spontaneous splenorenal shunt had recurrent variceal bleeding two months after a successful embolization of the coronary vein and a short gastric vein. A repeat study revealed the recurrent varices were supplied by enlarged right gastric and gastroepiploic veins. Superior mesenteric venography was necessary for their visualization.

Original languageEnglish (US)
Pages (from-to)327-332
Number of pages6
JournalRadiology
Volume129
Issue number2
StatePublished - 1978

Fingerprint

Varicose Veins
Veins
Stomach
Surgical Splenorenal Shunt
Hemorrhage
Surgical Portasystemic Shunt
Phlebography
Coronary Vessels
Liver

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Percutaneous transhepatic obliteration of gastroesophageal varices : Some technical aspects. / Keller, Frederick; Dotter, C. T.; Rosch, Josef.

In: Radiology, Vol. 129, No. 2, 1978, p. 327-332.

Research output: Contribution to journalArticle

Keller, Frederick ; Dotter, C. T. ; Rosch, Josef. / Percutaneous transhepatic obliteration of gastroesophageal varices : Some technical aspects. In: Radiology. 1978 ; Vol. 129, No. 2. pp. 327-332.
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