Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
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Minim Invasive Ther Allied Technol · Feb 2017
Case ReportsIntrahepatic portosystemic venous shunt via the right adrenal vein: treatment with vascular plug.
A 65-year-old man with hepatocellular carcinoma (HCC) due to alcohol-related liver cirrhosis had undergone transarterial chemoembolization 11 times. However, treatment for HCC was difficult to continue, due to episodic hepatic encephalopathy. He was referred to our hospital for treatment of hepatic encephalopathy, showing a Child-Pugh score of 8 despite medical therapy. ⋯ The larger tract was occluded using an Amplatzer Vascular Plug (AVP) II, and the smaller tract was occluded using an original AVP. The postembolization course was uneventful. Hepatic encephalopathy improved after shunt occlusion and no recurrence had occurred as of one year after the procedure.