Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO)

被引：52
作者：
Kim, David J. [1 ]
Darcy, Michael D. [1 ]
Mani, Naganathan B. [1 ]
Park, Auh Whan [2 ]
Akinwande, Olaguoke [1 ]
Ramaswamy, Raja S. [1 ]
Kim, Seung Kwon [1 ]
机构：
[1] Washington Univ St Louis, Sch Med, Mallinckrodt Inst Radiol, Intervent Radiol, 510 S Kingshighway Blvd,Campus Box 8131, St Louis, MO 63110 USA
[2] Univ Virginia Hosp, Intervent Radiol, Charlottesville, VA USA
来源：
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2018年 / 41卷 / 06期
关键词：
Portal hypertension; Varices; Embolization; HEPATIC-ENCEPHALOPATHY; TRANSCATHETER OBLITERATION; FUNDAL VARICES; HEMORRHAGE; MANAGEMENT; COMPLICATIONS; SHUNTS; PARTO; SCORE; FOAM;
D O I：
10.1007/s00270-018-1896-1
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Gastric varices in the setting of portal hypertension occur less frequently than esophageal varices but occur at lower portal pressures and are associated with more massive bleeding events and higher mortality rate. Balloon-occluded retrograde transvenous obliteration (BRTO) of gastric varices has been well documented as an effective therapy for portal hypertensive gastric varices. However, BRTO requires lengthy, higher-level post-procedural monitoring and can have complications related to balloon rupture and adverse effects of sclerosing agents. Several modified BRTO techniques have been developed including vascular plug-assisted retrograde transvenous obliteration, coil-assisted retrograde transvenous obliteration, and balloon-occluded antegrade transvenous obliteration. This article provides an overview of various modified BRTO techniques.
引用
收藏
页码：835 / 847
页数：13
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