日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
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Double microcatheter single vascular access techniqueにより良好な塞栓を得た先天性肝内門脈体循環シャントの1例
濱本 耕平千葉 英美子松浦 克彦大河内 知久丹野 啓介浅野 岳晴本田 実磯貝 純田中 修
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2016 年 31 巻 4 号 p. 360-365

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We report the case of a woman in her 40s with an asymptomatic, congenital intrahepatic portosystemic venous shunt diagnosed during a routine examination for uterine cervical cancer. Contrast-enhanced computed tomography (CT) and superior mesenteric arterial portography showed a complex intrahepatic portosystemic venous shunt with concomitant portal vein aneurysm near the hepatic hilum. The shunt appeared likely to be difficult to occlude via the usual endovascular procedure because the shunt point was narrow and short. Therefore, we performed coil embolization using a double microcatheter single vascular access technique and successfully treated without any complications.

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