Int J Gastrointest Interv.  2019 Oct;8(4):165-167. 10.18528/ijgii190001.

Gastric variceal hemorrhage treated with percutaneous transhepatic embolization with balloon-occluded antegrade transvenous obliteration

Affiliations
  • 1Department of Interventional Radiology, University of Miami Miller School of Medicine, Miami, FL, USA.
  • 2Department of General Surgery, University of Texas Health San Antonio, San Antonio, TX, USA. beltranperez@uthscsa.edu

Abstract

We report a case of gastric variceal hemorrhage where high model for end-stage liver disease score and the complex gastric variceal anatomy precluded the use of both transjugular intrahepatic porto-systemic shunt and standard balloon-occluded retrograde transvenous occlusion (BRTO) procedures respectively. The patient was successfully managed by percutaneous transhepatic coil embolization combined with BRTO. It is of great importance to obtain an accurate cross-sectional image to evaluate the anatomical variances of gastric varices that will lead to appropriate vascular access and to chose a suitable embolization method.

Keyword

Balloon; Embolization; Gastrix varix; Transhepatic

MeSH Terms

Embolization, Therapeutic
Esophageal and Gastric Varices
Hemorrhage*
Humans
Liver Diseases
Methods
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