PMID: 6966536Jan 1, 1980Paper

Bleeding from esophageal varices exacerbated by splenic arterial-venous fistula: complete transcatheter obliterative therapy

Cardiovascular and Interventional Radiology
F S KellerC T Dotter

Abstract

A cirrhotic patient who had previously undergone both mesocaval shunting and transthoracic esophageal and gastric devascularization with splenectomy (Sugiura procedure) presented with recurring intractable variceal hemorrhage. Diagnostic visceral angiography demonstrated a large splenic arterial-venous fistula and gastroesophageal varices. Transarterial occlusion of the fistula and transheptic obliteration of the varices successfully done at one sitting prevented further bleeding. Follow-up angiography nine months later revealed persistent occlusion of the previous fistula and no evidence of esophageal varices.

References

Dec 1, 1978·AJR. American Journal of Roentgenology·T A LayneW D Boswell
Sep 1, 1979·AJR. American Journal of Roentgenology·S R Reuter
Apr 1, 1977·AJR. American Journal of Roentgenology·C W KerberR J Correa
Nov 1, 1977·AJR. American Journal of Roentgenology·J H AndersonC Gianturco
Jan 1, 1978·AJR. American Journal of Roentgenology·C W KerberP E Sheptak
Jun 1, 1978·The British Journal of Radiology·D P MacErleanE A Martin
Sep 1, 1978·The Journal of Urology·S WallaceL J Davis
Mar 1, 1975·Archives of Surgery·J V Zelch, R E Hermann

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Citations

Apr 6, 2012·Abdominal Imaging·Pankaj SharmaThomas Pfammatter
Apr 1, 1981·Seminars in Roentgenology·F S KellerJ W Jendrzejewski
Oct 24, 2006·AJR. American Journal of Roentgenology·James E SilberzweigAzita S Khorsandi
Dec 1, 1984·Australian and New Zealand Journal of Medicine·D H CurranM Stephen
Apr 12, 2017·The American Journal of Case Reports·H Edward Garrett, Lamar Mack

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