Sclerotherapy for Rectal Varices by a Small-Bore Needle Puncture Through the Greater Sciatic Foramen
Purpose To report a sclerotherapy technique for rectal varices consisting of direct puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen without insertion of a sheath or catheter. Materials and Methods The subjects of this retrospective study were th...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2018-02, Vol.41 (2), p.317-322 |
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| creator | Kariya, Shuji Nakatani, Miyuki Maruyama, Takuji Ono, Yasuyuki Ueno, Yutaka Shimizu, Hiroshi Komemushi, Atsushi Tanigawa, Noboru |
| description | Purpose
To report a sclerotherapy technique for rectal varices consisting of direct puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen without insertion of a sheath or catheter.
Materials and Methods
The subjects of this retrospective study were three consecutive patients who underwent embolization of rectal varices, two for rupture of rectal varices and one for hepatic encephalopathy and hyperammonemia. A 5% solution of ethanolamine oleate with iodinated contrast agent (5% EOI) was injected through puncture of the superior rectal vein and carried in the blood flow, after which
n
-butyl cyanoacrylate mixed with lipiodol (NBCA-Lip) was immediately injected to stop the blood flow.
Results
The 5% EOI and NBCA-Lip were successfully injected in all three patients. There was no movement of NBCA-Lip on plain radiographs or computed tomography (CT) immediately after injection, and the 5% EOI remained within the rectal varices. The mean procedure time was 53 min (42–60 min). On contrast-enhanced CT 1 month after the procedure, there was no contrast enhancement of the rectal varices that had been seen on preoperative CT in any of the three patients, confirming that the rectal varices had disappeared.
Conclusion
Sclerotherapy for rectal varices using an approach for puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen was technically feasible and clinically effective. |
| doi_str_mv | 10.1007/s00270-017-1803-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1952103655</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1952103655</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a18de585e90a8ce2e1c283766c6f23017c8f77c21893cd044c7f320d483fefc43</originalsourceid><addsrcrecordid>eNp1kU1P3DAQhi1UVLa0P4BLZakXLi4zdhx7jy0qtBICxNKqN8s4EzYoibd2cth_j9ECqir1NBrNM-98vIwdIXxGAHOSAaQBAWgEWlAC99gCKyUF2Pr3G7YohUqg1njA3uX8AIDaSv2WHcglKGuNXrBmFXpKcVpT8pstb2PiNxQm3_NfPnWBMr_bcs9Xg-978TUm4pdETU_8eh7DNJf8dp3ifL_mRYKfJ_ITJb4KnZ-6wM9i8gON79l-6_tMH57jIft59u329Lu4uDr_cfrlQgRl5CQ82oa01bQEbwNJwiCtMnUd6laqckywrTFBol2q0EBVBdMqCU1lVUttqNQhO97pblL8M1Oe3NDlQH3vR4pzdrjUEkHVWhf00z_oQ5zTWLYrlC1vgkqrQuGOCinmnKh1m9QNPm0dgnuywO0scGU592SBw9Lz8Vl5vhuoee14-XkB5A7IpTTeU_pr9H9VHwFsm4__</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1985820453</pqid></control><display><type>article</type><title>Sclerotherapy for Rectal Varices by a Small-Bore Needle Puncture Through the Greater Sciatic Foramen</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kariya, Shuji ; Nakatani, Miyuki ; Maruyama, Takuji ; Ono, Yasuyuki ; Ueno, Yutaka ; Shimizu, Hiroshi ; Komemushi, Atsushi ; Tanigawa, Noboru</creator><creatorcontrib>Kariya, Shuji ; Nakatani, Miyuki ; Maruyama, Takuji ; Ono, Yasuyuki ; Ueno, Yutaka ; Shimizu, Hiroshi ; Komemushi, Atsushi ; Tanigawa, Noboru</creatorcontrib><description>Purpose
To report a sclerotherapy technique for rectal varices consisting of direct puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen without insertion of a sheath or catheter.
Materials and Methods
The subjects of this retrospective study were three consecutive patients who underwent embolization of rectal varices, two for rupture of rectal varices and one for hepatic encephalopathy and hyperammonemia. A 5% solution of ethanolamine oleate with iodinated contrast agent (5% EOI) was injected through puncture of the superior rectal vein and carried in the blood flow, after which
n
-butyl cyanoacrylate mixed with lipiodol (NBCA-Lip) was immediately injected to stop the blood flow.
Results
The 5% EOI and NBCA-Lip were successfully injected in all three patients. There was no movement of NBCA-Lip on plain radiographs or computed tomography (CT) immediately after injection, and the 5% EOI remained within the rectal varices. The mean procedure time was 53 min (42–60 min). On contrast-enhanced CT 1 month after the procedure, there was no contrast enhancement of the rectal varices that had been seen on preoperative CT in any of the three patients, confirming that the rectal varices had disappeared.
Conclusion
Sclerotherapy for rectal varices using an approach for puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen was technically feasible and clinically effective.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-017-1803-1</identifier><identifier>PMID: 29038875</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aged ; Blood flow ; Boring ; Cardiology ; Computed tomography ; Contrast Media ; Embolization ; Esophageal and Gastric Varices - diagnostic imaging ; Esophageal and Gastric Varices - therapy ; Ethanolamine ; Female ; Hepatic encephalopathy ; Humans ; Hyperammonemia ; Imaging ; Medical instruments ; Medicine ; Medicine & Public Health ; Needles ; Nuclear Medicine ; Oleic Acids - therapeutic use ; Patients ; Punctures ; Radiographs ; Radiography ; Radiology ; Rectal Diseases - diagnostic imaging ; Rectal Diseases - therapy ; Rectum ; Rectum - blood supply ; Rectum - diagnostic imaging ; Retrospective Studies ; Sclerosing Solutions - therapeutic use ; Sclerotherapy ; Sclerotherapy - instrumentation ; Sclerotherapy - methods ; Technical Note ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasound ; Veins & arteries</subject><ispartof>Cardiovascular and interventional radiology, 2018-02, Vol.41 (2), p.317-322</ispartof><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2017</rights><rights>CardioVascular and Interventional Radiology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a18de585e90a8ce2e1c283766c6f23017c8f77c21893cd044c7f320d483fefc43</citedby><cites>FETCH-LOGICAL-c372t-a18de585e90a8ce2e1c283766c6f23017c8f77c21893cd044c7f320d483fefc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-017-1803-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-017-1803-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29038875$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kariya, Shuji</creatorcontrib><creatorcontrib>Nakatani, Miyuki</creatorcontrib><creatorcontrib>Maruyama, Takuji</creatorcontrib><creatorcontrib>Ono, Yasuyuki</creatorcontrib><creatorcontrib>Ueno, Yutaka</creatorcontrib><creatorcontrib>Shimizu, Hiroshi</creatorcontrib><creatorcontrib>Komemushi, Atsushi</creatorcontrib><creatorcontrib>Tanigawa, Noboru</creatorcontrib><title>Sclerotherapy for Rectal Varices by a Small-Bore Needle Puncture Through the Greater Sciatic Foramen</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To report a sclerotherapy technique for rectal varices consisting of direct puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen without insertion of a sheath or catheter.
Materials and Methods
The subjects of this retrospective study were three consecutive patients who underwent embolization of rectal varices, two for rupture of rectal varices and one for hepatic encephalopathy and hyperammonemia. A 5% solution of ethanolamine oleate with iodinated contrast agent (5% EOI) was injected through puncture of the superior rectal vein and carried in the blood flow, after which
n
-butyl cyanoacrylate mixed with lipiodol (NBCA-Lip) was immediately injected to stop the blood flow.
Results
The 5% EOI and NBCA-Lip were successfully injected in all three patients. There was no movement of NBCA-Lip on plain radiographs or computed tomography (CT) immediately after injection, and the 5% EOI remained within the rectal varices. The mean procedure time was 53 min (42–60 min). On contrast-enhanced CT 1 month after the procedure, there was no contrast enhancement of the rectal varices that had been seen on preoperative CT in any of the three patients, confirming that the rectal varices had disappeared.
Conclusion
Sclerotherapy for rectal varices using an approach for puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen was technically feasible and clinically effective.</description><subject>Aged</subject><subject>Blood flow</subject><subject>Boring</subject><subject>Cardiology</subject><subject>Computed tomography</subject><subject>Contrast Media</subject><subject>Embolization</subject><subject>Esophageal and Gastric Varices - diagnostic imaging</subject><subject>Esophageal and Gastric Varices - therapy</subject><subject>Ethanolamine</subject><subject>Female</subject><subject>Hepatic encephalopathy</subject><subject>Humans</subject><subject>Hyperammonemia</subject><subject>Imaging</subject><subject>Medical instruments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Needles</subject><subject>Nuclear Medicine</subject><subject>Oleic Acids - therapeutic use</subject><subject>Patients</subject><subject>Punctures</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Rectal Diseases - diagnostic imaging</subject><subject>Rectal Diseases - therapy</subject><subject>Rectum</subject><subject>Rectum - blood supply</subject><subject>Rectum - diagnostic imaging</subject><subject>Retrospective Studies</subject><subject>Sclerosing Solutions - therapeutic use</subject><subject>Sclerotherapy</subject><subject>Sclerotherapy - instrumentation</subject><subject>Sclerotherapy - methods</subject><subject>Technical Note</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>Veins & arteries</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1P3DAQhi1UVLa0P4BLZakXLi4zdhx7jy0qtBICxNKqN8s4EzYoibd2cth_j9ECqir1NBrNM-98vIwdIXxGAHOSAaQBAWgEWlAC99gCKyUF2Pr3G7YohUqg1njA3uX8AIDaSv2WHcglKGuNXrBmFXpKcVpT8pstb2PiNxQm3_NfPnWBMr_bcs9Xg-978TUm4pdETU_8eh7DNJf8dp3ifL_mRYKfJ_ITJb4KnZ-6wM9i8gON79l-6_tMH57jIft59u329Lu4uDr_cfrlQgRl5CQ82oa01bQEbwNJwiCtMnUd6laqckywrTFBol2q0EBVBdMqCU1lVUttqNQhO97pblL8M1Oe3NDlQH3vR4pzdrjUEkHVWhf00z_oQ5zTWLYrlC1vgkqrQuGOCinmnKh1m9QNPm0dgnuywO0scGU592SBw9Lz8Vl5vhuoee14-XkB5A7IpTTeU_pr9H9VHwFsm4__</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Kariya, Shuji</creator><creator>Nakatani, Miyuki</creator><creator>Maruyama, Takuji</creator><creator>Ono, Yasuyuki</creator><creator>Ueno, Yutaka</creator><creator>Shimizu, Hiroshi</creator><creator>Komemushi, Atsushi</creator><creator>Tanigawa, Noboru</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180201</creationdate><title>Sclerotherapy for Rectal Varices by a Small-Bore Needle Puncture Through the Greater Sciatic Foramen</title><author>Kariya, Shuji ; 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To report a sclerotherapy technique for rectal varices consisting of direct puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen without insertion of a sheath or catheter.
Materials and Methods
The subjects of this retrospective study were three consecutive patients who underwent embolization of rectal varices, two for rupture of rectal varices and one for hepatic encephalopathy and hyperammonemia. A 5% solution of ethanolamine oleate with iodinated contrast agent (5% EOI) was injected through puncture of the superior rectal vein and carried in the blood flow, after which
n
-butyl cyanoacrylate mixed with lipiodol (NBCA-Lip) was immediately injected to stop the blood flow.
Results
The 5% EOI and NBCA-Lip were successfully injected in all three patients. There was no movement of NBCA-Lip on plain radiographs or computed tomography (CT) immediately after injection, and the 5% EOI remained within the rectal varices. The mean procedure time was 53 min (42–60 min). On contrast-enhanced CT 1 month after the procedure, there was no contrast enhancement of the rectal varices that had been seen on preoperative CT in any of the three patients, confirming that the rectal varices had disappeared.
Conclusion
Sclerotherapy for rectal varices using an approach for puncture of the superior rectal vein with a small-bore sheathed needle via the greater sciatic foramen was technically feasible and clinically effective.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29038875</pmid><doi>10.1007/s00270-017-1803-1</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Blood flow Boring Cardiology Computed tomography Contrast Media Embolization Esophageal and Gastric Varices - diagnostic imaging Esophageal and Gastric Varices - therapy Ethanolamine Female Hepatic encephalopathy Humans Hyperammonemia Imaging Medical instruments Medicine Medicine & Public Health Needles Nuclear Medicine Oleic Acids - therapeutic use Patients Punctures Radiographs Radiography Radiology Rectal Diseases - diagnostic imaging Rectal Diseases - therapy Rectum Rectum - blood supply Rectum - diagnostic imaging Retrospective Studies Sclerosing Solutions - therapeutic use Sclerotherapy Sclerotherapy - instrumentation Sclerotherapy - methods Technical Note Tomography, X-Ray Computed Treatment Outcome Ultrasound Veins & arteries |
| title | Sclerotherapy for Rectal Varices by a Small-Bore Needle Puncture Through the Greater Sciatic Foramen |
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