{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T05:43:17Z","timestamp":1783748597768,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,7,15]],"date-time":"2014-07-15T00:00:00Z","timestamp":1405382400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Several reports have described portopulmonary venous anastomosis (<jats:styled-content style=\"fixed-case\">PPVA<\/jats:styled-content>). However, in balloon\u2010occluded retrograde transvenous obliteration (<jats:styled-content style=\"fixed-case\">BRTO<\/jats:styled-content>), attention has not been paid to paradoxical embolism. The objective of this study was to investigate the existence of a right\u2013left shunt due to <jats:styled-content style=\"fixed-case\">PPVA<\/jats:styled-content> when the drainage vein is occluded by a balloon during <jats:styled-content style=\"fixed-case\">BRTO<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The subjects were 19 patients who underwent <jats:styled-content style=\"fixed-case\">BRTO<\/jats:styled-content>. Whether <jats:styled-content style=\"fixed-case\">PPVA<\/jats:styled-content> was present was confirmed on balloon\u2010occluded retrograde transvenous venography (<jats:styled-content style=\"fixed-case\">BRTV<\/jats:styled-content>). After <jats:styled-content style=\"fixed-case\">BRTV<\/jats:styled-content>, a retrograde bolus injection of 20\u2009mL of carbon dioxide (<jats:styled-content style=\"fixed-case\"><jats:roman>CO<jats:sub>2<\/jats:sub><\/jats:roman><\/jats:styled-content>) via the balloon catheter was performed under balloon occlusion, and the flow of bubbles into both ventricles was observed with four\u2010chamber view echocardiography. During the same balloon occlusion, bolus injection of <jats:styled-content style=\"fixed-case\"><jats:roman>CO<jats:sub>2<\/jats:sub><\/jats:roman><\/jats:styled-content> into the inferior vena cava was performed, followed by echocardiography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">PPVA<\/jats:styled-content> was confirmed on <jats:styled-content style=\"fixed-case\">BRTV<\/jats:styled-content> in four patients (21.1%). On echocardiography with retrograde <jats:styled-content style=\"fixed-case\"><jats:roman>CO<jats:sub>2<\/jats:sub><\/jats:roman><\/jats:styled-content> injection, bubbles were confirmed in the left ventricle in six patients (31.6%). On echocardiography with <jats:styled-content style=\"fixed-case\"><jats:roman>CO<jats:sub>2<\/jats:sub><\/jats:roman><\/jats:styled-content> injection into the inferior vena cava, bubbles were not confirmed in the left ventricle in any cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When the draining vein was occluded with a balloon and blood flow in a gastrorenal or gastrocaval shunt was stopped during <jats:styled-content style=\"fixed-case\">BRTO<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">PPVA<\/jats:styled-content> was confirmed in 21.1% of cases on retrograde angiography, and a right\u2013left shunt was confirmed in 31.6% of cases on echocardiography.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.12583","type":"journal-article","created":{"date-parts":[[2014,3,20]],"date-time":"2014-03-20T11:57:20Z","timestamp":1395316640000},"page":"1522-1527","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Portopulmonary venous anastomosis in balloon\u2010occluded retrograde transvenous obliteration for the treatment of gastric varices"],"prefix":"10.1111","volume":"29","author":[{"given":"Shuji","family":"Kariya","sequence":"first","affiliation":[{"name":"Department of Radiology Kansai Medical University  Hirakata Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Komemushi","sequence":"additional","affiliation":[{"name":"Department of Radiology Kansai Medical University  Hirakata Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miyuki","family":"Nakatani","sequence":"additional","affiliation":[{"name":"Department of Radiology Kansai Medical University  Hirakata Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rie","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Radiology Kansai Medical University  Hirakata Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumiko","family":"Kono","sequence":"additional","affiliation":[{"name":"Department of Radiology Kansai Medical University  Hirakata Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomokuni","family":"Shiraishi","sequence":"additional","affiliation":[{"name":"Department of Radiology Ishikiriseiki Hospital  Higashiosaka Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noboru","family":"Tanigawa","sequence":"additional","affiliation":[{"name":"Department of Radiology Kansai Medical University  Hirakata Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,15]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.1996.tb00010.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.00928.x"},{"key":"e_1_2_5_4_1","first-page":"1026","article-title":"Changes in liver function parameters after occlusion of gastrorenal shunts with balloon\u2010occluded retrograde transvenous obliteration","volume":"92","author":"Akahane T","year":"1997","journal-title":"Am. J. Gastroenterol."},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.167.5.8911204"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002709900206"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.211.2.r99ma25349"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.5.1771091"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61912-5"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.234025044"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.234025135"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-004-0185-3"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000336588"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-9485.2010.02226.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1673.2007.01746.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-010-1895-3"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2010.11.022"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2011.01.437"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.11.7002"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i6.951"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1232249"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/RTI.0b013e3181a652fa"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1148\/66.2.206"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI103523"},{"key":"e_1_2_5_25_1","first-page":"441","article-title":"The detection of porta\u2010pulmonary shunting in portal cirrhosis using radio\u2010active krypton (Kr\u201085)","volume":"9","author":"Shaldon S","year":"1961","journal-title":"Minerva Cardioangiol."},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.144.3.7100457"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1148\/127.1.75"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.142.1.137"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.11.1.30"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-196509000-00005"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2012.09.013"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2012.09.014"},{"key":"e_1_2_5_33_1","first-page":"1372","article-title":"Paradoxical cerebral emboli after transjugular intrahepatic portosystemic shunt and coil embolization for treatment of duodenal varices","volume":"92","author":"Ponec RJ","year":"1997","journal-title":"Am. J. Gastroenterol."},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.141.1.7291544"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.135.5.1045"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.07.009"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2001.118651"}],"container-title":["Journal of Gastroenterology and Hepatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgh.12583","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgh.12583","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgh.12583","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T11:01:09Z","timestamp":1696158069000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jgh.12583"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7]]},"references-count":36,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2014,7]]}},"alternative-id":["10.1111\/jgh.12583"],"URL":"https:\/\/doi.org\/10.1111\/jgh.12583","archive":["Portico"],"relation":{},"ISSN":["0815-9319","1440-1746"],"issn-type":[{"value":"0815-9319","type":"print"},{"value":"1440-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7]]},"assertion":[{"value":"2014-02-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}