Fig. 2. (A) Superior mesenteric venography shows the total occlusion of the main portal vein (white arrow) and extensive jejunal varices (arrowheads). The patient had undergone coil embolization (black arrow) of the common hepatic artery because of the pseudoaneurysm at the stump of the gastroduodenal artery. (B) Superior mesenteric venography after stent-graft placement shows the patent main portal vein, but there is residual focal stenosis between the stent-graft and the superior mesenteric vein (SMV) (arrow). Extensive jejunal varices are also noted. (C) Superior mesenteric venography after the embolization of the jejunal varices shows the near complete occlusion of the varices at the hepaticojejunostomy site and distal segment of the feeding jejunal vein (JV) with minimal contrast filling. Note subtraction artifacts (arrowheads) caused by the mixture of N-butyl cyanoacrylate and iodized oil. Focal stenosis between the stent-graft and the SMV was present (arrow). (D) Final superior mesenteric venography, after the bare stent insertion for residual stenosis between the stent-graft and the SMV (arrow) shows widely patent main portal vein stents and the complete occlusion of the jejunal varices.

Gastrointestinal Intervention 2014;3:54~57 https://doi.org/10.1016/j.gii.2013.10.004

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