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CardioVascular and Interventional Radiology

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01-02-2015 | Case Report

Management of Gastric Varices in the Pediatric Population with Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Utilizing Sodium Tetradecyl Sulfate Foam Sclerosis with or without Partial Splenic Artery Embolization

Authors: Wael E. A. Saad, Curtis L. Anderson, Rahul S. Patel, Sandra Schwaner, Stephen Caldwell, Shawn Pelletier, John Angle, Alan H. Matsumoto, Aaron M. Fischman

Published in: CardioVascular and Interventional Radiology | Issue 1/2015

Abstract

It is unknown whether spontaneous gastrorenal shunts actually develop in the pediatric population. The minimum age documented in studies from Asia is 32 (range 32–44) years. This study describes three pediatric patients undergoing balloon-occluded retrograde transvenous obliteration (BRTO) for bleeding gastric varices with two of the three patients undergoing combined partial splenic embolization. The first BRTO is a selective-BRTO via a surgical splenorenal shunt (15 years old) and the other two patients underwent conventional-BRTO via a spontaneous gastrorenal shunt (8 and 14 years old). The recurrent significant bleeding that they exhibited before the combined endovascular therapy did not recur for an average of 7.1 (range 1.4–14) months. In the second patient, quantitative digitally subtracted angiography was utilized to evaluate the inline portal venous flow before and after BRTO.

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Title: Management of Gastric Varices in the Pediatric Population with Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Utilizing Sodium Tetradecyl Sulfate Foam Sclerosis with or without Partial Splenic Artery Embolization
Authors: Wael E. A. Saad
Curtis L. Anderson
Rahul S. Patel
Sandra Schwaner
Stephen Caldwell
Shawn Pelletier
John Angle
Alan H. Matsumoto
Aaron M. Fischman
Publication date: 01-02-2015
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 1/2015
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-014-0881-6

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Management of Gastric Varices in the Pediatric Population with Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Utilizing Sodium Tetradecyl Sulfate Foam Sclerosis with or without Partial Splenic Artery Embolization

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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