A Case of Successful Treatment of Gastric Varices Due to Left-sided Portal Hypertension with Multidisciplinary Treatment Including Transportal Coil-assisted Balloon-occluded Retrograde Transvenous Obliteration II and Partial Splenic Embolization

Yuki Sakai; Akira Yamamoto; Atsushi Jogo; Ryuichi Kita; Hitomi Hirose; Kanami Ikeda; Eisaku Terayama; Masanori Ozaki; Kazuki Murai; Ken Kageyama; Etsuji Sohgawa; Teruhisa Ninoi; Yukio Miki

doi:10.22575/interventionalradiology.2023-0025

CASE REPORT

A Case of Successful Treatment of Gastric Varices Due to Left-sided Portal Hypertension with Multidisciplinary Treatment Including Transportal Coil-assisted Balloon-occluded Retrograde Transvenous Obliteration II and Partial Splenic Embolization

Yuki Sakai, Akira Yamamoto, Atsushi Jogo, Ryuichi Kita, Hitomi Hirose, Kanami Ikeda, Eisaku Terayama, Masanori Ozaki, Kazuki Murai, Ken Kageyama, Etsuji Sohgawa, Teruhisa Ninoi, Yukio Miki

Author information

Yuki Sakai
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Akira Yamamoto
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Atsushi Jogo
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Ryuichi Kita
Department of Gastroenterology, Osaka Red Cross Hospital
Hitomi Hirose
Department of Gastroenterology, Matsushita Memorial Hospital
Kanami Ikeda
Department of Gastroenterology, Matsushita Memorial Hospital
Eisaku Terayama
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Masanori Ozaki
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Kazuki Murai
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Ken Kageyama
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Etsuji Sohgawa
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University
Teruhisa Ninoi
Department of Radiology, PL General Hospital
Yukio Miki
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University

Keywords: left-sided portal hypertension, gastric varices, coil-assisted retrograde transvenous obliteration-II, transportal balloon-occluded retrograde transvenous obliteration

JOURNAL OPEN ACCESS

2025 Volume 10 Pages e2023-0025

DOI https://doi.org/10.22575/interventionalradiology.2023-0025

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Abstract

We performed transportal coil-assisted balloon-occluded retrograde transvenous obliteration II, a modification of balloon-occluded retrograde transvenous obliteration, for gastric varices due to left-sided portal hypertension. Significant scale-down of varices was confirmed on upper gastrointestinal endoscopy and contrast-enhanced computed tomography at 6 months after intervention. In the meantime, there were no complications related to treatment. We present transportal coil-assisted balloon-occluded retrograde transvenous obliteration II as a new alternative in addition to splenectomy and partial splenic embolization for gastric varices induced by left-sided portal hypertension.

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