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Balloon-Occluded Antegrade Transvenous Sclerotherapy to Treat Rectal Varices: A Direct Puncture Approach to the Superior Rectal Vein Through the Greater Sciatic Foramen Under CT Fluoroscopy Guidance

Rectal varices occur in 44.5 % of patients with ectopic varices caused by portal hypertension, and 48.6 % of these patients are untreated and followed by observation. However, bleeding occurs in 38 % and shock leading to death in 5 % of such patients. Two patients, an 80-year-old woman undergoing tr...

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Published in:	Cardiovascular and interventional radiology 2015-10, Vol.38 (5), p.1320-1324
Main Authors:	Ono, Yasuyuki, Kariya, Shuji, Nakatani, Miyuki, Yoshida, Rie, Kono, Yumiko, Kan, Naoki, Ueno, Yutaka, Komemushi, Atsushi, Tanigawa, Noboru
Format:	Article
Language:	English
Subjects:	Aged, 80 and over Balloon Occlusion Cardiology Case Report CHILDREN COMPUTERIZED TOMOGRAPHY DEATH Female FLUOROSCOPY Humans HYPERTENSION Imaging LIVER Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine PATIENTS Punctures Radiology RADIOLOGY AND NUCLEAR MEDICINE RECTUM Rectum - blood supply Rectum - diagnostic imaging Sclerotherapy Tomography, X-Ray Computed Treatment Outcome Ultrasound Varicose Veins - therapy VEINS WOMEN
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creator	Ono, Yasuyuki Kariya, Shuji Nakatani, Miyuki Yoshida, Rie Kono, Yumiko Kan, Naoki Ueno, Yutaka Komemushi, Atsushi Tanigawa, Noboru
description	Rectal varices occur in 44.5 % of patients with ectopic varices caused by portal hypertension, and 48.6 % of these patients are untreated and followed by observation. However, bleeding occurs in 38 % and shock leading to death in 5 % of such patients. Two patients, an 80-year-old woman undergoing treatment for primary biliary cirrhosis (Child-Pugh class A) and a 63-year-old man with class C hepatic cirrhosis (Child-Pugh class A), in whom balloon-occluded antegrade transvenous sclerotherapy was performed to treat rectal varices are reported. A catheter was inserted by directly puncturing the rectal vein percutaneously through the greater sciatic foramen under computed tomographic fluoroscopy guidance. In both cases, the rectal varices were successfully treated without any significant complications, with no bleeding from rectal varices after embolization.
doi_str_mv	10.1007/s00270-015-1174-4
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However, bleeding occurs in 38 % and shock leading to death in 5 % of such patients. Two patients, an 80-year-old woman undergoing treatment for primary biliary cirrhosis (Child-Pugh class A) and a 63-year-old man with class C hepatic cirrhosis (Child-Pugh class A), in whom balloon-occluded antegrade transvenous sclerotherapy was performed to treat rectal varices are reported. A catheter was inserted by directly puncturing the rectal vein percutaneously through the greater sciatic foramen under computed tomographic fluoroscopy guidance. In both cases, the rectal varices were successfully treated without any significant complications, with no bleeding from rectal varices after embolization.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26163363</pmid><doi>10.1007/s00270-015-1174-4</doi><tpages>5</tpages></addata></record>
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subjects	Aged, 80 and over Balloon Occlusion Cardiology Case Report CHILDREN COMPUTERIZED TOMOGRAPHY DEATH Female FLUOROSCOPY Humans HYPERTENSION Imaging LIVER Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine PATIENTS Punctures Radiology RADIOLOGY AND NUCLEAR MEDICINE RECTUM Rectum - blood supply Rectum - diagnostic imaging Sclerotherapy Tomography, X-Ray Computed Treatment Outcome Ultrasound Varicose Veins - therapy VEINS WOMEN
title	Balloon-Occluded Antegrade Transvenous Sclerotherapy to Treat Rectal Varices: A Direct Puncture Approach to the Superior Rectal Vein Through the Greater Sciatic Foramen Under CT Fluoroscopy Guidance
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