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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 6/2018

01-06-2018 | Review

Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO)

Authors: David J. Kim, Michael D. Darcy, Naganathan B. Mani, Auh Whan Park, Olaguoke Akinwande, Raja S. Ramaswamy, Seung Kwon Kim

Published in: CardioVascular and Interventional Radiology | Issue 6/2018

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Abstract

Gastric varices in the setting of portal hypertension occur less frequently than esophageal varices but occur at lower portal pressures and are associated with more massive bleeding events and higher mortality rate. Balloon-occluded retrograde transvenous obliteration (BRTO) of gastric varices has been well documented as an effective therapy for portal hypertensive gastric varices. However, BRTO requires lengthy, higher-level post-procedural monitoring and can have complications related to balloon rupture and adverse effects of sclerosing agents. Several modified BRTO techniques have been developed including vascular plug-assisted retrograde transvenous obliteration, coil-assisted retrograde transvenous obliteration, and balloon-occluded antegrade transvenous obliteration. This article provides an overview of various modified BRTO techniques.
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Metadata
Title
Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO)
Authors
David J. Kim
Michael D. Darcy
Naganathan B. Mani
Auh Whan Park
Olaguoke Akinwande
Raja S. Ramaswamy
Seung Kwon Kim
Publication date
01-06-2018
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 6/2018
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-018-1896-1

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