Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2022; 10(6): 2023-2029
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.2023
Successful embolization of an intrahepatic portosystemic shunt using balloon-occluded retrograde transvenous obliteration: A case report
Hidemasa Saito, Satoru Murata, Fumie Sugihara, Tatsuo Ueda, Daisuke Yasui, Izumi Miki, Hiromitsu Hayashi, Shin-Ichiro Kumita
Hidemasa Saito, Fumie Sugihara, Tatsuo Ueda, Daisuke Yasui, Izumi Miki, Hiromitsu Hayashi, Shin-Ichiro Kumita, Department of Radiology, Nippon Medical School, Tokyo 113-8602, Japan
Satoru Murata, Center for Interventional Radiology, Teikyo University Chiba Medical Center, Chiba 299-0011, Japan
Author contributions: Saito H and Murata S treated the patient, reviewed the literature, and contributed to manuscript drafting; Sugihara F, Ueda T, Yasui D, and Miki I participated in the patient treatment and analyzed and interpreted the imaging findings; Hayashi H and Kumita SI critically reviewed the manuscript; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hidemasa Saito, MD, PhD, Assistant Professor, Department of Radiology, Nippon Medical School, 1-1-5, Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan. hide-saito@nms.ac.jp
Received: September 4, 2021
Peer-review started: September 4, 2021
First decision: November 7, 2021
Revised: November 16, 2021
Accepted: January 14, 2022
Article in press: January 14, 2022
Published online: February 26, 2022
Processing time: 172 Days and 6.4 Hours
Core Tip

Core Tip: Portosystemic venous shunts are generally formed in patients with hepatic fibrosis and cirrhosis due to portal hypertension. Adult cases of congenital intrahepatic portosystemic shunt (IPSVS) are extremely rare. Hepatic encephalopathy is an indication for IPSVS embolization. Minimally invasive treatments that use interventional techniques, such as transcatheter embolization, are being utilized increasingly recently; however, shunt embolization is technically challenging because rapid blood flow through shunts can induce the migration of embolization material to systemic veins. Balloon-occluded retrograde transvenous obliteration with detachable coils can be effective for the endovascular treatment of an IPSVS.