학술논문
How to Use N-butyl-2-cyanoacrylate in the Portal Venous System Including in Portal Venous Hypertension / 門脈および門脈圧亢進症領域でのNBCAの使用
Document Type
Journal Article
Author
Akira Akutsu; Hajime Fujimoto; Hiroki Kobayashi; Jun Hashimoto; Jun Koizumi; Satoshi Tsuchiya; Shun Ono; Takashi Takeuchi; Takashi Uno; Takeshi Hashimoto; Takeshi Wada; Takuya Hara; Tatsuya Sekiguchi; Yoshituru Kubota; Yuka Sekiguchi; 原 拓也; 和田 武; 土屋 智史; 宇野 隆; 小林 洋樹; 小泉 淳; 小野 隼; 橋本 毅; 橋本 順; 武内 崇; 窪田 吉弦; 藤本 肇; 関口 由佳; 関口 達也; 阿久津 陽
Source
日本インターベンショナルラジオロジー学会雑誌 / The Official Journal of the Japanese Society of Interventional Radiology. 2023, 38(1):24
Subject
Language
Japanese
ISSN
1340-4520
2185-6451
2185-6451
Abstract
Interventional procedures for portal hypertension include transjugular intrahepatic portosystemic shunt (TIPS) to reduce portal hypertension, percutaneous transhepatic obliteration/sclerotherapy (PTO/S), transileocolic obliteration (TIO) and balloon-occluded retrograde transvenous obliteration (BRTO) to obliterate portosystemic shunt or varices, and partial splenic embolization (PSE) to improve hypersplenism. Segmental PSE using NBCA allows immediate occlusion and quantitative infarction ratios regardless of coagulopathy in hypersplenism as compared to metallic coils or gelatin sponges. For varices, ethanolamine oleate is usually used as a sclerosant in Japan during antegrade obliteration via PTO/S, TIO, and TIPS and retrograde obliteration (BRTO). NBCA after sclerotherapy shortens the overall procedure time by allowing immediate removal of the balloon catheter and reduces total costs compared to more expensive platinum coils. In percutaneous transhepatic portal embolization (PTPE) prior to major hepatectomy, immediate and more efficient hypertrophy can be obtained by embolization using NBCA than that using other embolic materials including gelatin sponges.