TY - JOUR AU - AB - We report a case of successful treatment of stomal variceal bleeding with percutaneous transhepatic oblit- eration using a microballoon catheter concomitantly with drainage vein compression. A 72-year-old man with alcoholic cirrhosis was admitted to our hospital due to repeated hemorrhage of stomal varices. Percutaneous transhepatic obliteration was then selected for treatment because computed tomography revealed the stomal varices being fed by only two branches of the superior and inferior mesenteric veins. During microballoon in- flation, 5% ethanolamine oleate with iopamidol was injected into each branch, and the systemic drainage veins were compressed by the gauze from the body surface near the stoma. No rebleeding from the stomal varices has been observed 14 months after the procedure. Key words: percutaneous transhepatic obliteration, stomal varices, portal hypertension, microballoon cathe- ter, venous compression (Interventional Radiology Advance Publication) cal compression, balloon-occluded retrograde transvenous obliteration (B-RTO), embolization by direct puncture [4], Introduction percutaneous transhepatic obliteration (PTO), transjugular Stoma varices are not rare, and up to 5% of all people intrahepatic portosystemic shunting (TIPS), or stomal revi- who have a stoma are affected. Stoma formation provides an sion and liver transplantation [5]. Here, we report a case of unusual anatomical location that allows abnormal communi- TI - Percutaneous Transhepatic Obliteration for Treating Stomal Variceal Bleeding Using a Microballoon Catheter with Systemic Drainage Vein Compression JF - Interventional Radiology DO - 10.22575/interventionalradiology.2021-0033 DA - 2022-01-01 UR - https://www.deepdyve.com/lp/unpaywall/percutaneous-transhepatic-obliteration-for-treating-stomal-variceal-L69iN588jM DP - DeepDyve ER -