title: Accelerated balloon-occluded retrograde transvenous obliteration without indwelling balloon occlusion for gastric varices with small gastrorenal shunts using a terminal gelfoam plug.
abstract: OBJECTIVE
  We performed balloon-occluded retrograde transvenous obliteration in three consecutive patients with small gastric varices without indwelling balloon catheter occlusion. Foam of 3% sodium tetradecyl sulfate mixed with iodized oil and room air was injected retrograde through the gastrorenal shunt, followed by a thick absorbable gelatin sponge (Gelfoam, Pfizer) plug under only 10-minute balloon occlusion.
  
  
  CONCLUSIONS
  Because complete obliteration of gastric varices was achieved in all patients without any complications, our technique is considered to be safe and effective for small gastric varices.
authors: 1 Department of Radiology, Division of Interventional Radiology & Image Guided Medicine, Emory University Hospital, Atlanta, GA.
authors: Wael M
authors: WM
authors: Darwish
authors: Sean R
authors: SR
authors: Dariushnia
authors: Sean
authors: S
authors: Darushnia
authors: Wael E
authors: WE
authors: Saad
mesh_terms: D000328:Adult; D000368:Aged; D021721:Balloon Occlusion / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006801:Humans; D007459:Iodized Oil / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000379:methods*; D012981:Sodium Tetradecyl Sulfate / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D012597:Sclerosing Solutions; D007459:Iodized Oil; D012981:Sodium Tetradecyl Sulfate
keywords: balloon; balloon-occluded retrograde transvenous obliteration; bleeding; gastric varices