Percutaneous Covered Stenting in Splenic Vein for Left-sided Portal Hypertension Caused by Chronic Splenic Vein Obstruction

  • Yamamoto Masayoshi
    Department of Radiology, Teikyo University School of Medicine
  • Hitomi Suguru
    Department of Emergency & Critical Care, Saitama Red Cross Hospital
  • Hara Takuya
    Department of Radiology, Faculty of Medicine, University of Miyazaki
  • Kondo Hiroshi
    Department of Radiology, Teikyo University School of Medicine
  • Oba Hiroshi
    Department of Radiology, Teikyo University School of Medicine

Abstract

<p>Left-sided portal hypertension (LSPH), an uncommon manifestation of portal hypertension, is characterized by conditions such as isolated gastric varices and splenomegaly, which result from impeded splenic venous drainage in the presence of pancreatic disease. We employed a percutaneous transhepatic technique to achieve regression of isolated gastric varices by implanting a covered stent within a blocked splenic vein and by embolizing the posterior gastric vein and varices using N-butyl-2-cyanoacrylate. We report the successful treatment of stenting for LSPH by the covered stent placement.</p>

Journal

  • Interventional Radiology

    Interventional Radiology 9 (1), 31-35, 2024-03-01

    Japanese Society of Interventional Radiology

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