Open AccessSuccessful embolisation of intrahepatic portosystemic venous shunt using AMPLATZER Vascular Plug II
Author(s) -
Akiko Tomiyama,
Sota Oguro,
Mayumi Kobayashi Kato,
Hiromi Watanabe,
Harutake Yamazaki,
Tomohiko Suzuki,
Shinichi Tominaga
Publication year - 2017
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20160061
Subject(s) - medicine , portosystemic shunt , shunt (medical) , hepatic encephalopathy , portal hypertension , encephalopathy , radiology , abnormality , transjugular intrahepatic portosystemic shunt , surgery , cirrhosis , psychiatry
An intrahepatic portosystemic venous shunt is a relatively rare abnormality that can cause encephalopathy owing to hyperammonaemia. Two patients with encephalopathy owing to intrahepatic portosystemic venous shunts were treated with transcatheter emboli sation using the AMPLATZER Vascular Plug II. Both patients achieved complete obliteration, which was confirmed on dynamic CT. Their symptoms that had been related to portalsystemic encephalopathy subsequently improved after the intervention. No short-term complications were observed in either patient. We recommend that the AMPLATZER Vascular Plug II be used for embolis ation owing to its superior safety and utility when compared with metallic coils or other liquid embolic materials.