Adrenal Hemorrhage as a Complication of Plug-assisted Retrograde Transvenous Obliteration of Gastrorenal Shunt Managed by Adrenal Artery Embolization: A Case Report.

Karan Manoj Anandpara, Bhavesh Arun Popat, Aniruddha Vidyadhar Kulkarni, Shreya Poddar

Abstract readCase Reports

In one paragraph

Article in Interventional radiology (Higashimatsuyama-shi (Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Karan Manoj AnandparaDepartment of Vascular and Interventional Radiology, Heart and Vascular Superspeciality Hospitals, India.

Bhavesh Arun PopatDepartment of Vascular and Interventional Radiology, P D Hinduja National Hospital and Medical Research Centre, India.

Aniruddha Vidyadhar KulkarniDepartment of Vascular and Interventional Radiology, Nanavati Max Super Speciality Hospital, India.

Shreya PoddarDepartment of Vascular and Interventional Radiology, P D Hinduja National Hospital and Medical Research Centre, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a patient who underwent plug-assisted retrograde transvenous obliteration for gastric varices. After the procedure, the patient developed hypotension and tachycardia. Contrast-enhanced computed tomography showed a left adrenal hematoma. The patient was managed with left inferior adrenal artery embolization. We herein describe an unexpected complication during plug-assisted retrograde transvenous obliteration and the endovascular management by adrenal artery embolization. We speculate that inadvertent cannulation of an adrenal vein tributary and iatrogenic trauma thereafter caused by sheath advancement was a probable cause for this complication. Further increase in intra-adrenal pressure due to blockage of the adrenal vein outflow postplug deployment possibly led to the rupture of adrenal vein tributary and adrenal gland hematoma in our case.

Indexed as

adrenal artery embolizationadrenal hemorrhagechronic liver disease (CLD)plug-assisted retrograde transvenous obliteration (PARTO)portal hypertension

Identifiers

PMID39559814

DOI10.22575/interventionalradiology.2023-0032

PMCPMC11570214

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.