title: Balloon-Occluded Retrograde Transvenous Obliteration for Isolated Gastric Varices Draining through Pericardiophrenic Vein without Gastrorenal or Gastrocaval Shunts.
abstract: Balloon-occluded retrograde transvenous obliteration (BRTO) is an effective and minimally invasive treatment for isolated gastric varices (GVs) that is usually performed through a gastrorenal shunt (GRS) or gastrocaval shunt (GCS). However, there are some cases in which GVs drain mainly into the left pericardiophrenic vein without an accessible GRS or GCS. This brief report presents four cases of GVs without a GRS/GCS treated by BRTO through the pericardiophrenic vein. BRTO was successfully performed with the use of flexible balloon catheters without any complications in all four patients, and the GVs were completely obliterated.
authors.affiliation: Department of Radiology, Oita University Faculty of Medicine, 1-1, Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan.
authors.forename: Miyuki
authors.initials: M
authors.lastname: Maruno
authors.affiliation: Department of Radiology, Oita University Faculty of Medicine, 1-1, Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan. Electronic address: hkiyosue@oita-u.ac.jp.
authors.forename: Hiro
authors.initials: H
authors.lastname: Kiyosue
authors.affiliation: Department of Radiology, Oita University Faculty of Medicine, 1-1, Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Tanoue
authors.affiliation: Department of Radiology, Oita University Faculty of Medicine, 1-1, Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan.
authors.forename: Norio
authors.initials: N
authors.lastname: Hongo
authors.affiliation: Department of Radiology, Oita University Faculty of Medicine, 1-1, Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan.
authors.forename: Hiromu
authors.initials: H
authors.lastname: Mori
mesh_terms: D000368:Aged; D021721:Balloon Occlusion / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000628:therapy*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014680:Veins