Fig. 3. Second interventional radiology (IR) procedure: transsplenic antegrade approach. (A) Ultrasonography showing the splenic vein at the inferior splenic pole depicted in blue by Color Doppler. A puncture of the splenic vein was performed under ultrasonographic guidance. (B) Transsplenic balloon-occluded antegrade venography revealed all varices connecting to one efferent vein (black arrowheads). (C) The afferent vein (splenic vein) was embolized with fibered coils after variceal obliteration. (D, E) Abdominal radiography and contrast-enhanced computed tomography obtained after the second IR procedure showed complete embolization of varices.
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