Plug-assisted Retrograde Transvenous Obliteration-II for Gastric Varices: A Case Report

We present a case of gastric varices successfully treated with modified plug-assisted retrograde transvenous obliteration. A 45-year-old male patient had isolated fundal gastric varices caused by alcoholic cirrhosis. Contrast-enhanced computed tomography showed that the gastric varices were drained...

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Detalles Bibliográficos
Autores principales: Tsurusaki, Masakatsu, Kotera, Taku, Kozuki, Ryohei, Urase, Atsushi, Hirayama, Ayumi, Sofue, Keitaro, Murakami, Takamichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Interventional Radiology 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359170/
https://www.ncbi.nlm.nih.gov/pubmed/37485487
http://dx.doi.org/10.22575/interventionalradiology.2022-0021
Descripción
Sumario:We present a case of gastric varices successfully treated with modified plug-assisted retrograde transvenous obliteration. A 45-year-old male patient had isolated fundal gastric varices caused by alcoholic cirrhosis. Contrast-enhanced computed tomography showed that the gastric varices were drained mainly via the gastro-renal shunt. The gastric varices were treated via plug-assisted retrograde transvenous obliteration using an IMPEDE vascular plug with a modified coil-assisted retrograde transvenous obliteration-II procedure. There were no complications during the procedure, and an endoscopic examination 3 months after the procedure revealed that the gastric varices had disappeared. To our knowledge, this is the first report on the application of plug-assisted retrograde transvenous obliteration-II using a newly designed IMPEDE vascular plug to avoid migration of the sclerosant.

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