Balloon-occlusion Retrograde Transvenous Obliteration Using Gadoteridol As an Alternative Contrast Agent in a Patient with Iodine Allergy
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- Iwasa Taisei
- Department of Gastroenterology, Ibi Kosei Hospital, Gifu-Seino Medical Center, Japan Department of Gastroenterology, Gihoku Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Adachi Seiji
- Department of Gastroenterology, Ibi Kosei Hospital, Gifu-Seino Medical Center, Japan Department of Gastroenterology, Gihoku Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Oyama Yusuke
- Department of Gastroenterology, Gihoku Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Suzuki Yusuke
- Department of Gastroenterology, Gihoku Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Mabuchi Masatoshi
- Department of Gastroenterology, Ibi Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Nakamura Hironori
- Department of Gastroenterology, Ibi Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Shimazaki Makoto
- Department of Gastroenterology, Ibi Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Nishiwaki Shinji
- Department of Gastroenterology, Ibi Kosei Hospital, Gifu-Seino Medical Center, Japan
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- Iwashita Takuji
- Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
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- Shimizu Masahito
- Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
抄録
<p>A 70-year-old woman with liver cirrhosis presented with gastric varices and recurrent hepatic encephalopathy. Magnetic resonance imaging (MRI) showed a splenorenal shunt, and balloon-occluded retrograde transvenous obliteration (B-RTO) was indicated but could not be performed due to iodine allergy. We then performed B-RTO using gadoteridol, an MRI contrast medium, instead of iodine contrast and successfully occluded the shunt vessel. After the procedure, hepatic encephalopathy did not recur, and the size of the gastric varices was reduced. This experience may aid in the management of iodine-allergic patients requiring interventional radiological treatment. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 63 (8), 1099-1103, 2024-04-15
一般社団法人 日本内科学会