title: Balloon-occluded retrograde transvenous obliteration of complex gastric varices assisted by temporary balloon occlusion of the splenic artery.
abstract: Six cases of gastric varices with multiple afferent veins, in which balloon-occluded venography of the draining vein showed insufficient filling of gastric varices with contrast medium, were treated by balloon-occluded retrograde transvenous obliteration (BRTO) and temporary balloon occlusion of the splenic artery. The gastric varices were completely filled with sclerosant in all but one patient. No procedure-related complications were encountered. Computed tomography (CT) after the procedure showed complete thrombosis of the varices in five patients and partial thrombosis in one patient. Temporary balloon occlusion of the splenic artery is a useful additional technique for complete obliteration of gastric varices in selected cases.
authors.affiliation: Department of Radiology, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama, Yufu City, Oita, Japan. hkiyosue@med.oita-u.ac.jp
authors.forename: Hiro
authors.initials: H
authors.lastname: Kiyosue
authors.forename: Shuichi
authors.initials: S
authors.lastname: Tanoue
authors.forename: Yayoi
authors.initials: Y
authors.lastname: Kondo
authors.forename: Miyuki
authors.initials: M
authors.lastname: Maruno
authors.forename: Ryo
authors.initials: R
authors.lastname: Takaji
authors.forename: Shunro
authors.initials: S
authors.lastname: Matsuoto
authors.forename: Shinya
authors.initials: S
authors.lastname: Ueda
authors.forename: Hiromu
authors.initials: H
authors.lastname: Mori
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D021721:Balloon Occlusion; D003287:Contrast Media; D004621:Embolization, Therapeutic; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D017082:Portal Pressure; D015641:Radiography, Interventional; D012189:Retrospective Studies; D012597:Sclerosing Solutions / Q000008:administration & dosage; D013157:Splenic Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; D012597:Sclerosing Solutions