{"title":"桥塞辅助逆行经静脉闭塞术- ii治疗胃静脉曲张1例。","authors":"Masakatsu Tsurusaki, Taku Kotera, Ryohei Kozuki, Atsushi Urase, Ayumi Hirayama, Keitaro Sofue, Takamichi Murakami","doi":"10.22575/interventionalradiology.2022-0021","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":73503,"journal":{"name":"Interventional radiology (Higashimatsuyama-shi (Japan)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/22/2432-0935-8-2-0075.PMC10359170.pdf","citationCount":"0","resultStr":"{\"title\":\"Plug-assisted Retrograde Transvenous Obliteration-II for Gastric Varices: A Case Report.\",\"authors\":\"Masakatsu Tsurusaki, Taku Kotera, Ryohei Kozuki, Atsushi Urase, Ayumi Hirayama, Keitaro Sofue, Takamichi Murakami\",\"doi\":\"10.22575/interventionalradiology.2022-0021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":73503,\"journal\":{\"name\":\"Interventional radiology (Higashimatsuyama-shi (Japan)\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/22/2432-0935-8-2-0075.PMC10359170.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Interventional radiology (Higashimatsuyama-shi (Japan)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.22575/interventionalradiology.2022-0021\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Interventional radiology (Higashimatsuyama-shi (Japan)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22575/interventionalradiology.2022-0021","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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 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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