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James Vu,Jesus Beltran-Perez,Bruce Bordlee 소화기인터벤션의학회 2021 Gastrointestinal Intervention Vol.10 No.3
Gastroduodenal artery steal syndrome is an uncommon complication occurring after orthotopic liver transplantation (OLT) that results in hypoperfusion of the hepatic artery increasing the risk for graft dysfunction. Its non-specific clinical and imaging findings often delay diagnosis and increase the chance for re-transplantation or death. The lack of diagnostic criteria and definitive risk factors for developing the syndrome creates a need for angiography to visualize anatomical and perfusion characteristics indicative of the phenomenon. We present a 47-year-old male who underwent OLT and developed gastroduodenal artery steal a week after surgery. The diagnosis was confirmed with angiogram and successfully treated with coil embolization of the gastroduodenal artery. Arterial steal syndromes should be part of the broad differential when encountered with findings suggestive of an arterial complications in post-OLT patients.
James Vu,Jesus Beltran-Perez,Bruce Bordlee 소화기인터벤션의학회 2021 International journal of gastrointestinal interven Vol.10 No.3
Gastroduodenal artery steal syndrome is an uncommon complication occurring after orthotopic liver transplantation (OLT) that results in hypoperfusion of the hepatic artery increasing the risk for graft dysfunction. Its non-specific clinical and imaging findings often delay diagnosis and increase the chance for re-transplantation or death. The lack of diagnostic criteria and definitive risk factors for developing the syndrome creates a need for angiography to visualize anatomical and perfusion characteristics indicative of the phenomenon. We present a 47-year-old male who underwent OLT and developed gastroduodenal artery steal a week after surgery. The diagnosis was confirmed with angiogram and successfully treated with coil embolization of the gastroduodenal artery. Arterial steal syndromes should be part of the broad differential when encountered with findings suggestive of an arterial complications in post-OLT patients.
William Henry Eskew,Jesus Beltran-Perez,Bruce Bordlee 소화기인터벤션의학회 2024 International journal of gastrointestinal interven Vol.13 No.1
Gastrointestinal (GI) bleeding is a serious complication with a high mortality rate (45%–55%) that can result from a variety of conditions, including portal hypertension, diverticulosis, or splenic vein thrombosis. There are a variety of established treatment strategies for GI bleeds, and there are different indications and contraindications for each. In this case, colonoscopy did not identify any active source of bleeding. Furthermore, because this GI hemorrhage did not involve any shunts, balloon-occluded retrograde transvenous obliteration was not performed. Additionally, a transjugular intrahepatic portosystemic shunt was ruled out due to the poor primary shunt patency rate. Here, we report the treatment of a GI bleed with N-butyl- 2-cyanoacrylate (n-BCA) liquid embolization with no complications. This case demonstrates the potential of using n-BCA to treat small bowel varices.