Simultaneous Left Gastric Vein (LGV) Embolization And Portal Vein (PV) Recanalization By Endovascular RFA And Stenting

01. Portography after left PV peripheral patentbranch puncture 02. Introducer sheath is advance and portography “above the thrombus” is performed 03. Portography “below the thrombus” – tumor thrombus is documented 04. Guidewire and 5Fr diameter advantage catheter is introduced in left gastric vein (LGV) 05. Contrast injection in LGV depicts esophageal varicosis 06. LGV embolization by coil implantation 07. Post-embolization contrast injection in LGV documents no more esophageal varicosis 08. Portography for ablation aiming 09. 8Fr diameter bipolar RF device is positioned for thrombus processing 10. 14 mm diameter vascular stent in introduced 11. 14 mm diameter vascular stent is introduced, portography is performed via the introducer sheath 12. Stent is implanted 13. Post-procedure portography […]
LGV Percutaneous Transhepatic Embolization For Esophageal Varices

Contrast injection depicts 5th segment PV branch after US guided punctrure Introducer sheath is positioned and portography performed Contrast injection using 5 Fr diameter advantage catheter, positioned in LGV via PV depicts veinsof lower esophagus No more esophageal veins are seen after LGV coil embolization