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

Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2023-07-01 DOI:10.22575/interventionalradiology.2022-0021

Masakatsu Tsurusaki, Taku Kotera, Ryohei Kozuki, Atsushi Urase, Ayumi Hirayama, Keitaro Sofue, Takamichi Murakami

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Abstract

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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桥塞辅助逆行经静脉闭塞术- ii治疗胃静脉曲张1例。

我们报告一例成功治疗胃静脉曲张改良塞辅助逆行经静脉闭塞。一例45岁男性患者因酒精性肝硬化引起孤立性胃底静脉曲张。增强计算机断层扫描显示胃静脉曲张主要通过胃肾分流引流。胃静脉曲张的治疗采用塞辅助逆行经静脉闭塞术，使用阻碍血管塞和改良的线圈辅助逆行经静脉闭塞术- ii。手术过程中没有并发症，手术后3个月的内窥镜检查显示胃静脉曲张消失。据我们所知，这是第一个应用塞辅助逆行经静脉闭塞- ii的报道，使用新设计的阻碍血管塞来避免硬化剂的迁移。

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Interventional radiology (Higashimatsuyama-shi (Japan)

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