| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 4239790 | Journal of Vascular and Interventional Radiology | 2011 | 6 Pages |
Abstract
Two cases of portosystemic encephalopathy caused by an inferior mesenteric vein (IMV)-internal iliac vein shunt and an IMV-renal vein shunt are presented. IMV and systemic varicosity consisted of a first functional segment, a stagnant segment, and a second functional segment. Both patients underwent balloon occlusion retrograde transvenous obliteration (BRTO), using a microcatheter, to occlude the stagnant segment selectively. Although transient portal vein thrombosis was observed in case 1 and aggravation of esophageal varices was observed in case 2, these complications were tolerable. Following BRTO, the portosystemic encephalopathy in both cases resolved, and serum ammonia levels, although elevated, remained within the normal range.
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Authors
Hiroki MD, Nobuyuki MD, Morio MD, Akira MD, Munehisa MD, Tetsuo MD, Shinya MD, Kouhei MD, Takami MD, Isao MD, Motoki MD,