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

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

doi:10.22575/interventionalradiology.2022-0021

This article has now been updated. Please use the final version.

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

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

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Keywords: balloon-occluded retrograde transvenous obliteration, IMPEDE vascular plug, shape-memory polymer, gastric varices, plug-assisted retrograde transvenous obliteration

JOURNAL OPEN ACCESS Advance online publication

Article ID: 2022-0021

DOI https://doi.org/10.22575/interventionalradiology.2022-0021

The final version of this article is now available: Vol. 8 (2023), No. 2 pp. 75-79

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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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