plug assisted retrograde transvenous obliteration

All cases showed successful clinical outcome during mean follow up of 17 months (12-32 months), evidenced by imaging studies, endoscopy and clinical data. Visualization of hypervascular liver lesions during TACE: comparison of angiographic C-arm CT and MDCT. Case Rep Radiol 2014 2014: 391420 44 Meyer BC, Frericks BB, Voges M. There was no procedure-related complication. Vascular plug-assisted retrograde transvenous obliteration of portosystemic shunts for refractory hepatic encephalopathy: a case report. Clinical success was defined as no variceal rebleeding and disappearance of gastric varix.Īll technical and clinical success-i.e., complete GR shunt occlusion and offending gastric varix embolization with immediate bleeding control-was achieved in all 9 patients. (c) Fluoroscopic image (right anterior oblique projection) taken during deflation of the balloon following coil-assisted BRTO from the jugular approach shows coils and shunt occlusion. The cookie is used to store the user consent for the cookies in the category 'Analytics'. This cookie is set by GDPR Cookie Consent plugin. Additional embolic materials, such as microcoils and NBCA glue-lipiodol mixture, were required in three patients to enhance complete occlusion of GR shunt or obliteration of competitive collateral vessels. Balloon-occluded retrograde transvenous obliteration (BRTO) failed due to the inability to catheterize the shunt from a femoral approach. Balloon-occluded retrograde transvenous obliteration of gastric fundal varices with hemorrhage. Coil assisted RTO (CARTO) was performed in one patient who had challenging GR shunt anatomy for vascular plug placement. Gelatin sponge embolization of both gastrorenal (GR) shunt and gastric varix was performed after retrograde transvenous placement of a vascular plug in GR shunt. Vascular plug-assisted retrograde transvenous obliteration (PARTO) has recently been utilized to treat gastric varices and hepatic encephalopathy in Korea. After initial insufficient or failure of endoscopic approach, they underwent PARTO in the emergent clinical setting. To evaluate the technical feasibility and safety of vascular plug assisted retrograde transvenous obliteration (PARTO) for bleeding gastric varix performed in the emergent clinical setting and describe the mid-term clinical results.įrom April 2012 to January 2015, emergent PARTO was tried in total 9 patients presented with active gastric varix bleeding.

Plug assisted retrograde transvenous obliteration