The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case Series
Purpose This article aims to report Australian experience of percutaneous transhepatic embolization of gastroesophageal and ectopic varices. Method Eight consecutive patients (mean age 61.8 years, 7 men) who had undergone percutaneous transhepatic variceal embolization (PTVE) for variceal bleeding...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-01-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723061 |
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| author | Chaitanya Ambati Mark Danta David Boshell Jesse Ende David Williams Joga Chaganti |
| author_facet | Chaitanya Ambati Mark Danta David Boshell Jesse Ende David Williams Joga Chaganti |
| author_sort | Chaitanya Ambati |
| collection | DOAJ |
| description | Purpose This article aims to report Australian experience of percutaneous transhepatic embolization of gastroesophageal and ectopic varices.
Method Eight consecutive patients (mean age 61.8 years, 7 men) who had undergone percutaneous transhepatic variceal embolization (PTVE) for variceal bleeding between October 2013 and February 2020 were analyzed. All patients were admitted from the emergency department. The following embolic materials were used—coils, Onyx 18 (Medtronic), and n-butyl cyanoacrylate plus lipiodol.
Results Post-PTVE, all eight patients demonstrated clinical and radiological improvement in the immediate postprocedure period (< 24 hours). Patients were followed for a mean of 44 ± 24 days postprocedure. Two patients were lost to follow-up. The postprocedure complications included rebleeding (n = 1), hepatic encephalopathy (n = 1), hemoperitoneum (n = 1), ileus (n = 1), and abdominal pain (n = 3).
Conclusion PTVE is an effective treatment option for patients with uncontrolled variceal bleeding (ectopic as well as gastroesophageal) especially when the traditional therapies such as transjugular intrahepatic portosystemic shunts, endoscopic variceal ligation, and balloon-occluded retrograde transvenous obliteration are contraindicated or ineffective. |
| format | Article |
| id | doaj-art-8e0e97e3769641709425853535d3bd8e |
| institution | DOAJ |
| issn | 2456-4869 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-8e0e97e3769641709425853535d3bd8e2025-08-20T03:06:51ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692021-01-01501031010.1055/s-0041-1723061The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case SeriesChaitanya Ambati0Mark Danta1David Boshell2Jesse Ende3David Williams4Joga Chaganti5Department of Medical Imaging, St Vincent’s Hospital, Sydney, AustraliaDepartment of Gastroenterology, St Vincent’s Hospital, Sydney, AustraliaDepartment of Medical Imaging, St Vincent’s Hospital, Sydney, AustraliaDepartment of Medical Imaging, St Vincent’s Hospital, Sydney, AustraliaDepartment of Gastroenterology, St Vincent’s Hospital, Sydney, AustraliaDepartment of Medical Imaging, St Vincent’s Hospital, Sydney, AustraliaPurpose This article aims to report Australian experience of percutaneous transhepatic embolization of gastroesophageal and ectopic varices. Method Eight consecutive patients (mean age 61.8 years, 7 men) who had undergone percutaneous transhepatic variceal embolization (PTVE) for variceal bleeding between October 2013 and February 2020 were analyzed. All patients were admitted from the emergency department. The following embolic materials were used—coils, Onyx 18 (Medtronic), and n-butyl cyanoacrylate plus lipiodol. Results Post-PTVE, all eight patients demonstrated clinical and radiological improvement in the immediate postprocedure period (< 24 hours). Patients were followed for a mean of 44 ± 24 days postprocedure. Two patients were lost to follow-up. The postprocedure complications included rebleeding (n = 1), hepatic encephalopathy (n = 1), hemoperitoneum (n = 1), ileus (n = 1), and abdominal pain (n = 3). Conclusion PTVE is an effective treatment option for patients with uncontrolled variceal bleeding (ectopic as well as gastroesophageal) especially when the traditional therapies such as transjugular intrahepatic portosystemic shunts, endoscopic variceal ligation, and balloon-occluded retrograde transvenous obliteration are contraindicated or ineffective.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723061portal hypertensiontranshepaticembolization |
| spellingShingle | Chaitanya Ambati Mark Danta David Boshell Jesse Ende David Williams Joga Chaganti The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case Series Journal of Clinical Interventional Radiology ISVIR portal hypertension transhepatic embolization |
| title | The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case Series |
| title_full | The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case Series |
| title_fullStr | The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case Series |
| title_full_unstemmed | The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case Series |
| title_short | The Promise of Percutaneous Transhepatic Variceal Embolization for Both Gastroesophageal and Ectopic Varices—An Australian Case Series |
| title_sort | promise of percutaneous transhepatic variceal embolization for both gastroesophageal and ectopic varices an australian case series |
| topic | portal hypertension transhepatic embolization |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723061 |
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