Interventional radiology (Higashimatsuyama-shi (Japan) · 2023
Plug-assisted Retrograde Transvenous Obliteration-II for Gastric Varices: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Tsurusaki Masakatsu, Kotera Taku, Kozuki Ryohei, Urase Atsushi, Hirayama Ayumi, Sofue Keitaro, Murakami Takamichi
Аннотация
We present a case of gastric varices successfully treated with modified plug-assisted retrograde transvenous obliteration. A 45-year-old male patient had isolated fundal gastric varices caused by alcoholic cirrhosis. Contrast-enhanced computed tomography showed that the gastric varices were drained mainly via the gastro-renal shunt. The gastric varices were treated via plug-assisted retrograde transvenous obliteration using an IMPEDE vascular plug with a modified coil-assisted retrograde transvenous obliteration-II procedure. There were no complications during the procedure, and an endoscopic examination 3 months after the procedure revealed that the gastric varices had disappeared. To our knowledge, this is the first report on the application of plug-assisted retrograde transvenous obliteration-II using a newly designed IMPEDE vascular plug to avoid migration of the sclerosant.