リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

大学・研究所にある論文を検索できる 「Bleeding anorectal varices treated by a direct puncture approach through the greater sciatic foramen : The utility of a steerable microcatheter for reverse catheterization」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

コピーが完了しました

URLをコピーしました

論文の公開元へ論文の公開元へ
書き出し

Bleeding anorectal varices treated by a direct puncture approach through the greater sciatic foramen : The utility of a steerable microcatheter for reverse catheterization

CHATANI Shohei 0000-0001-5080-2333 SEKI Kokichi SONODA Akinaga 00571051 MURAKAMI Yoko 90796145 TOMOZAWA Yuki 90585689 FUJIMOTO Takehide 90792820 ANDOH Akira 90252395 0000-0001-8533-2669 WATANABE Yoshiyuki 20362733 0000-0003-3906-3730 滋賀医科大学

2022.04

概要

Bleeding is less common from anorectal varices than from esophageal varices, but it is potentially life-threatening. Here, we present a case of a woman in her 70s with critical hemorrhage from anorectal varices. The endoscopic approach could not be performed due to the huge variceal formation and the transhepatic approach was also unsuitable due to the presence of portal vein thrombosis and ascites. A direct puncture to the right superior rectal vein was performed through the greater sciatic foramen under computed tomography fluoroscopic guidance. Using a steerable microcatheter, superior rectal veins were bilaterally embolized with a mixture of n-butyl cyanoacrylate and ethiodized oil, and microcoils. Endoscopy and contrast-enhanced computed tomography performed after the procedure confirmed a marked shrinkage of anorectal varices. When endoscopic or any other approaches are difficult, this technique can be a useful alternative therapeutic option.

この論文で使われている画像

関連論文

参考文献

[1] Sato T, Akaike J, Toyota J, Karino Y, Ohmura T.

Clinicopathological features and treatment of ectopic varices

with portal hypertension. Int J Hepatol 2011;2011:1–9.

doi:10.4061/2011/960720.

[2] Al Khalloufi K, Laiyemo AO. Management of rectal varices in

portal hypertension. World J Hepatol 2015;7(30):2992–8.

doi:10.4254/wjh.v7.i30.2992.

[3] Misra SP, Dwivedi M, Misra V. Prevalence and factors

influencing hemorrhoids, anorectal varices, and colopathy in

patients with portal hypertension. Endoscopy

1996;28(4):340–5. doi:10.1055/s- 2007- 1005477.

[4] Goenka MK, Kochhar R, Nagi B, Mehta SK. Rectosigmoid

varices and other mucosal changes in patients with portal

hypertension. Am J Gastroenterol 1991;86(9):1185–9.

1109

[5] Shudo R, Yazaki Y, Sakurai S, Uenishi H, Yamada H,

Sugawara K. Clinical study comparing bleeding and

nonbleeding rectal varices. Endoscopy 2001;34(3):189–94.

doi:10.1055/s- 2002- 20289.

[6] Robertson M, Thompson AI, Hayes PC. The management of

bleeding from anorectal varices. Curr Hepatology Rep

2017;16:406–15. doi:10.1007/s11901- 017- 0382- 6.

[7] Ono Y, Kariya S, Nakatani M, Yoshida R, Kono Y, Kan N, et al.

Balloon-occluded antegrade transvenous sclerotherapy to

treat rectal varices: a direct pucture approach to the superior

rectal vein through the greater sciatic foramen under CT

fluoroscopy guidance. Cardiovasc Intervent Radiol

2015;38:1320–4. doi:10.1007/s00270- 015- 1174- 4.

[8] Kariya S, Nakatani M, Maruyama T, Ono Y, Ueno Y,

Shimizu H, et al. Sclerotherapy for rectal varices by a

small-bore needle puncture through the greater sciatic

foramen. Cardiovasc Intervent Radiol 2018;41:317–22.

doi:10.1007/s00270- 017- 1803- 1.

[9] Harisinghani MG, Gervais DA, Maher MM, Cho CH, Hahn PF,

Varghese J, et al. Transgluteal approach for percutaneous

drainage of deep pelvic abscesses: 154 cases. Radiology

2003;228(3):701–5. doi:10.1148/radiol.2283020924.

[10] Soyama T, Yoshida D, Sakuhara Y, Morita R, Abo D, Kudo K.

The steerable microcatheter: a new device for selective

catheterization. Cardiovasc Intervent Radiol

2017;40(6):947–52. doi:10.1007/s00270- 017- 1579- 3.

[11] Inaba Y, Arai Y, Sone M, Aramaki T, Osuga K, Tanaka H, et al.

Clinical trial for development of a steerable microcatheter.

Minim Invasive Ther Allied Technol 2019;28(1):1–5.

doi:10.1080/13645706.2018.1467458.

[12] Shimohira M, Nagai K, Ohta K, Sawada Y, Muto M,

Hashizume T, Shibamoto Y. Use of a steerable triaxial system

for challenging catheterization. Minim Invasive Ther Allied

Technol 2020;29(3):140–5. doi:10.1080/13645706.2019.1606018.

[13] Terada K, Ogi T, Yoneda N, Yokka A, Sugiura T, Koda W, et al.

Coil-assisted retrograde transvenous obliteration (CARTO)

for the treatment of gastric varices via a single access route

using steerable microcatheter: a case report. CVIR Endovasc

2020;3(1):30. doi:10.1186/s42155- 020- 00124- 3.

[14] Dale AP, Khan R, Mathew A, Hersey NO, Peck R, Lee F, et al.

Hepatic tract plug-worthwhile? Cardiovasc Intervent Radiol

2015;38(5):1244–51. doi:10.1007/s00270- 015- 1058- 7.

[15] Grosse U, Brechtel K, Ketelsen D, Syha R, Grözinger G,

Springer F, et al. Portal vein recanalization and embolization

of the transsplenic puncture tract using an Amplatzer®

vascular plug: a case report. BMC Res Notes 2015;8:193.

doi:10.1186/s13104- 015- 1138- 4.

[16] Pieper CC, Meyer C, Hauser S, Wilhelm KE, Schild HH.

Transrenal ureteral occlusion using the Amplatzer vascular

plug II: a new interventional treatment option for lower

urinary tract fistulas. Cardiovasc Intervent Radiol

2014;37(2):451–7. doi:10.1007/s00270- 013- 0662- 7.

...

参考文献をもっと見る

全国の大学の
卒論・修論・学位論文

一発検索!

この論文の関連論文を見る