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DOI: 10.1055/s-2007-971186
Splenic Artery Embolization and Balloon Occlusion Retrograde Alcohol Embolization in a Patient with Bleeding Gastric Varices
Publication History
Publication Date:
27 March 2007 (online)
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ABSTRACT
We present a patient with a large spontaneous splenorenal shunt secondary to isolated splenic vein thrombosis who developed severe bleeding from fundal gastric varices. The patient was managed emergently with splenic artery embolization and balloon occlusion retrograde embolization of the varices with alcohol. We discuss the clinical presentation, embolization techniques, and a potential complication of the use of alcohol for this purpose.
KEYWORDS
Balloon occlusion retrograde embolization - splenic vein thrombosis - splenorenal shunt - portosystemic communications - gastric varices - splenic artery embolization - postembolization cardiovascular collapse
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Hector FerralM.D.
Associate Professor of Radiology, Department of Radiology, Section of Interventional Radiology, Rush University Medical Center
1653 West Congress Parkway, Chicago, IL 60612-3833