Direct Percutaneous Embolization of Bleeding Stomal Varices

Journal Article · Mon Feb 15 00:00:00 EST 2010 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9536-4· OSTI ID:21429084

Castle, Erik P ^[1]; Kriegshauser, J Scott; Huettl, Eric A ^[2]

---

1. Mayo Clinic Arizona, Mayo Clinic Hospital, Department of Urology (United States)
2. Mayo Clinic Arizona, Mayo Clinic Hospital, Department of Radiology, Division of Interventional Radiology (United States)

Stomal variceal bleeding can develop in patients with underlying cirrhosis and portal hypertension. Most patients are best treated with transjugular intrahepatic portosystemic shunt (TIPS) creation because this addresses the underlying problem of portal hypertension. However, some patients are not good candidates for TIPS creation because they have end-stage liver disease or encephalopathy. We describe such a patient who presented with recurrent bleeding stomal varices, which was successfully treated with percutaneous coil embolization. The patient had bleeding-free survival for 1 month before death from unrelated causes.

• OSTI ID: 21429084
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 33, Issue 1; Conference: BSIR (British Society of Interventional Radiology) 2009 annual meeting, Brighton (United Kingdom), 4-6 Nov 2009; Other Information: DOI: 10.1007/s00270-009-9536-4; Copyright (c) 2010 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2009 Springer Science+Business Media, LLC; ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
EMBOLI
HYPERTENSION
LIVER
BODY
CARDIOVASCULAR DISEASES
DIGESTIVE SYSTEM
DISEASES
GLANDS
ORGANS
SYMPTOMS
VASCULAR DISEASES