日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
門脈圧亢進症に対するIVR-update
PARTO
矢田 晋作遠藤 雅之高杉 昌平塚本 和充山本 修一鎌田 裕司牧嶋 惇岸本 美聡仕名野 堅太郎藤井 進也永原 天和杉原 誉明松木 由佳子木原 琢也
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2024 年 39 巻 2 号 p. 92-99

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Plug-assisted retrograde transvenous obliteration (PARTO) is a modified balloon-occluded retrograde transvenous obliteration (BRTO) procedure, devised in South Korea, in which a shunt vessel is embolized with gelatin sponge under vessel blockage by a vascular plug instead of a balloon catheter. PARTO has the advantages of resolving several problems of BRTO: PARTO can simplify a procedure with no need to downgrade, and it can shorten the patient’s resting time with no need for overnight retention of a balloon catheter. PARTO can be the first interventional treatment option for gastric varices and hepatic encephalopathy with a comparable clinical outcome to BRTO in cases in which the vascular plug can be appropriately placed.
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