keyword
Keywords Balloon-occluded Retrograde Tr...

Balloon-occluded Retrograde Transvenous Obliteration

https://read.qxmd.com/read/33456037/an-adult-case-of-congenital-extrahepatic-portosystemic-shunt-successfully-treated-with-balloon-occluded-retrograde-transvenous-obliteration
#1
Hironori Tanaka, Yoshihito Saijo, Tetsu Tomonari, Takahiro Tanaka, Tatsuya Taniguchi, Shusuke Yagi, Koichi Okamoto, Hiroshi Miyamoto, Masahiro Sogabe, Yasushi Sato, Naoki Muguruma, Koichi Tsuneyama, Masataka Sata, Tetsuji Takayama
A 42-year-old woman visited our hospital due to syncope. Contrast-enhanced CT revealed portosystemic shunt, portal vein hypoplasia, and multiple liver nodules. The histological examination of a liver biopsy specimen exhibited portal vein hypoplasia and revealed that the liver tumor was positive for glutamine synthetase. The patient was therefore diagnosed with congenital extrahepatic portosystemic shunt type II, and with focal nodular hyperplasia (FNH)-like nodules. She had the complication of severe portopulmonary hypertension and underwent complete shunt closure by balloon-occluded retrograde transvenous obliteration (B-RTO)...
January 15, 2021: Internal Medicine
https://read.qxmd.com/read/33445218/endoscopic-cyanoacrylate-injection-vs-brto-for-prevention-of-gastric-variceal-bleeding-a-randomized-controlled-trial
#2
Xuefeng Luo, Tong Xiang, Junchao Wu, Xiaoze Wang, Yongjun Zhu, Xiaotan Xi, Yuling Yan, Jinlin Yang, Juan Carlos García-Pagán, Li Yang
The optimal treatment for gastric varices (GVs) has not yet been fully determined. This study compared the efficacy and safety of endoscopic cyanoacrylate injection and balloon-occluded retrograde transvenous obliteration (BRTO) to prevent rebleeding in patients with cirrhosis and GVs after primary hemostasis. Patients with cirrhosis and history of bleeding from gastroesophageal varices type 2 or isolated gastric varices type 1 were randomized to cyanoacrylate injection (n = 32) or BRTO treatment (n = 32). The primary outcomes were gastric variceal rebleeding or all-cause rebleeding...
January 14, 2021: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://read.qxmd.com/read/33403531/the-first-case-of-balloon-occluded-retrograde-transvenous-obliteration-and-partial-splenic-embolization-for-gastric-varices-in-situs-inversus-abdominus
#3
Yusuke Watanabe, Akihiko Osaki, Nobuo Waguri, Shuji Terai
Situs inversus abdominus is a congenital abnormality characterized by the mirror image positioning of the abdominal organs, making it difficult to diagnosis and treatment of many diseases. Here, we report a rare case of gastric varices in situs inversus abdominus patient. A 55-year-old man was diagnosed with F2-shaped gastric varices associated with alcoholic cirrhosis. Abdominal dynamic computed tomography showed situs inversus abdominus, and gastric varices with a gastrorenal shunt. Due to the complex anatomy, emergency interventional radiology during bleeding was extremely difficult...
January 5, 2021: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/33319132/loop-combined-endoscopic-clip-and-cyanoacrylate-injection-to-treat-severe-gastric-varices-with-spleno-renal-shunt
#4
Zhenglin Ai, Ping Li
No abstract text is available yet for this article.
December 2020: VideoGIE
https://read.qxmd.com/read/33275189/usefulness-of-coil-assisted-retrograde-transvenous-obliteration-ii-carto-ii-for-the-treatment-of-ascending-colonic-varix-a-case-report
#5
Hiroyuki Maeda, Ken Kageyama, Akira Yamamoto, Atsushi Jogo, Etsuji Sohgawa, Kazuki Matsushita, Kazuo Asano, Hiroki Yonezawa, Takehito Nota, Kazuki Murai, Satoyuki Ogawa, Yukio Miki
BACKGROUND: Colonic varices are rare among ectopic varices. A previous report demonstrated that once bleeding from colonic varices occurs, it can be fatal. Several treatments for colonic varices exist, including surgical, endoscopic, and endovascular treatments; however, management of colonic varices has not been standardized. For colonic varices, minimally invasive therapies would be desirable. Balloon-occluded retrograde transvenous obliteration (B-RTO) is one of the treatment options for colonic varices to prevent their rupture...
December 4, 2020: CVIR Endovascular
https://read.qxmd.com/read/33140623/management-of-portal-hypertension-severe-complications
#6
Alberto Zanetto, Giulio Barbiero, Michele Battistel, Salvatore S Sciarrone, Sarah Shalaby, Monica Pellone, Sara Battistella, Martina Gambato, Giacomo Germani, Francesco P Russo, Patrizia Burra, Marco Senzolo
Portal hypertension is a clinical syndrome characterized by an increase in the portal pressure gradient, defined as the gradient between the portal vein at the site downstream of the site of obstruction and the inferior vena cava. The most frequent cause of portal hypertension is cirrhosis. In patients with cirrhosis, portal hypertension is the main driver of cirrhosis progression and development of hepatic decompensation (ascites, variceal hemorrhage, and hepatic encephalopathy), which defines the transition from compensated to decompensated stage...
November 3, 2020: Minerva Gastroenterologica e Dietologica
https://read.qxmd.com/read/33029050/salvage-balloon-occluded-retrograde-transvenous-obliteration-for-gastric-variceal-bleed-in-cirrhotic-patients-with-endoscopic-failure-to-control-bleed-very-early-rebleed-long-term-outcomes
#7
Amar Mukund, Pulkit Rangarh, Saggere Muralikrishna Shasthry, Yashwant Patidar, Shiv Kumar Sarin
Aims: To analyze the outcomes of balloon occluded retrograde transvenous obliteration (BRTO) as salvage therapy in cirrhotic patients with gastric variceal bleed (GVB) after failed endotherapy or very early rebleeds. We assessed for technical/clinical success of BRTO and transplantation-free survival. Material and methods: Patients with GVB who underwent BRTO as salvage therapy (between 2011 and 2017) were analyzed. Rebleed rate, Child Pugh score (CTP), Model for end-stage liver disease (MELD) values were calculated at 1,6,12, and 24 months follow-up...
September 2020: Journal of Clinical and Experimental Hepatology
https://read.qxmd.com/read/32914297/hepatitis-c-virus-associated-decompensated-liver-cirrhosis-with-refractory-hepatic-encephalopathy-successfully-treated-by-balloon-occluded-retrograde-transvenous-obliteration-after-sofosbuvir-velpatasvir
#8
Satoshi Takakusagi, Megumi Shimizu, Yozo Yokoyama, Kazuko Kizawa, Kyoko Marubashi, Takashi Kosone, Ken Sato, Satoru Kakizaki, Hitoshi Takagi, Toshio Uraoka
Sofosbuvir/velpatasvir (SOF/VEL) is expected to be highly effective, even in patients with decompensated liver cirrhosis. However, portal hypertension can be problematic after achieving a sustained viral response (SVR), especially in patients with hepatic encephalopathy (HE) associated with large portal-systemic shunt. Although balloon-occluded retrograde transvenous obliteration (BRTO) is a useful option, whether BRTO or SOF/VEL therapy should be initially performed in patients with a poor liver function reserve is controversial...
December 2020: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/32737609/multimodal-approach-to-portal-hypertension-and-gastric-varices-before-hepatic-resection-for-hepatocellular-carcinoma-a-case-report
#9
Norifumi Harimoto, Kenichiro Araki, Ryo Muranushi, Kouki Hoshino, Kei Hagiwara, Norihiro Ishii, Mariko Tsukagoshi, Takamichi Igarashi, Akira Watanabe, Norio Kubo, Kei Shibuya, Masaya Miyazaki, Hirofumi Kawanaka, Ken Shirabe
BACKGROUND: Liver cirrhosis occurs in approximately 80-90% of patients with hepatocellular carcinoma (HCC), and hepatic resection may be dangerous because of well-documented liver cirrhosis, which may be accompanied by portal hypertension (PH). Here we report a patient with advanced HCC with gastric varices and PH who experienced a good clinical course after undergoing balloon-occluded retrograde transvenous obliteration (BRTO), percutaneous transhepatic portal vein embolization (PTPE), hand-assisted laparoscopic (HALS) splenectomy, and right lobectomy of the liver...
July 31, 2020: Surgical Case Reports
https://read.qxmd.com/read/32721492/spontaneously-resolving-duodenal-obstruction-after-balloon-occluded-retrograde-transvenous-obliteration-assisted-endoscopic-histoacryl-injection-in-duodenal-varices
#10
Dipankar Mondal, Mousam Dey, Kishalaya, Souveek Mitra, Jiban Basak
No abstract text is available yet for this article.
July 25, 2020: Gastrointestinal Endoscopy
https://read.qxmd.com/read/32682578/obliteration-of-a-portosystemic-shunt-by-hybrid-interventional-radiology-using-a-transmesenteric-approach-under-minilaparotomy-after-liver-transplantation-a-case-report
#11
Sotaro Fukuhara, Masahiro Ohira, Keigo Chosa, Yasutaka BaBa, Michinori Hamaoka, Naoki Tanimine, Hiroshi Morimoto, Shintaro Kuroda, Hiroyuki Tahara, Kentaro Ide, Tsuyoshi Kobayashi, Kazuo Awai, Hideki Ohdan
Hepatic encephalopathy that occurs long after liver transplantation (LT) is an uncommon condition. Here, we describe the successful case of a 65-year-old patient who underwent interventional radiology (IVR) using a transmesenteric approach under minilaparotomy for hepatic encephalopathy because of a portosystemic shunt 11 years after ABO-incompatible living donor LT with splenectomy. Enhanced computed tomography confirmed a huge portosystemic shunt and left gastric vein (LGV)-esophageal-azygos vein, which was not treated during LT...
July 15, 2020: Transplantation Proceedings
https://read.qxmd.com/read/32609922/significant-improvement-in-portal-systemic-liver-failure-symptoms-and-successful-management-of-portal-splenic-venous-hemodynamics-by-the-combination-of-interventional-radiology-and-pharmacotherapy
#12
Tsuyoshi Ishikawa, Kaori Hamamoto, Ryo Sasaki, Tatsuro Nishimura, Takashi Matsuda, Takuya Iwamoto, Taro Takami, Isao Sakaida
This study describes a case of hepatitis C virus-related decompensated cirrhosis with portal-systemic liver failure and refractory encephalopathy. It was successfully managed with a combination of interventional radiology and pharmacotherapy, to improve hepatic function, including hyperammonemia and to control portal-splenic venous hemodynamics with hepatic venous pressure gradient (HVPG) monitoring. A man in his late 50s presented with a Child-Pugh score of 13, Model for End-Stage Liver Disease-sodium (MELD-Na) score of 19 and blood ammonia level of 185 μg/dL...
October 2020: Hepatology Research: the Official Journal of the Japan Society of Hepatology
https://read.qxmd.com/read/32537683/coil-assisted-retrograde-transvenous-obliteration-carto-for-the-treatment-of-gastric-varices-via-a-single-access-route-using-steerable-microcatheter-a-case-report
#13
Kanako Terada, Takahiro Ogi, Norihide Yoneda, Akira Yokka, Takumi Sugiura, Wataru Koda, Satoshi Kobayashi, Toshifumi Gabata
BACKGROUND: Coil-assisted retrograde transvenous obliteration (CARTO) is a modified balloon-occluded retrograde transvenous obliteration (BRTO) technique using coils instead of an indwelling balloon. A method involving two microcatheter systems forming a double access route has been reported. We report a case of CARTO using a steerable microcatheter to successfully treat gastric varices (GV). CASE PRESENTATION: A 79-year-old man was admitted for treatment of intractable GV due to liver cirrhosis...
June 14, 2020: CVIR Endovascular
https://read.qxmd.com/read/32533300/treatment-outcomes-after-splenectomy-with-gastric-devascularization-or-balloon-occluded-retrograde-transvenous-obliteration-for-gastric-varices-a-propensity-score-weighted-analysis-from-a-single-institution
#14
Ko Oshita, Masahiro Ohira, Naruhiko Honmyo, Tsuyoshi Kobayashi, Eisuke Murakami, Hiroshi Aikata, Yasutaka Baba, Reo Kawano, Kazuo Awai, Kazuaki Chayama, Hideki Ohdan
BACKGROUND: Although balloon-occluded retrograde transvenous obliteration (BRTO) is often selected to treat gastric varices caused by portal hypertension, data comparing BRTO and splenectomy with gastric devascularization (Sp + Dev) are limited. METHODS: From January 2009 to February 2018, 100 patients with gastric varices caused by portal hypertension who underwent Sp + Dev (n = 45) or BRTO (n = 55) were included. Overall survival (OS) and the rebleeding rate were calculated using the inverse probability of a treatment weighting-adjusted log-rank test...
June 12, 2020: Journal of Gastroenterology
https://read.qxmd.com/read/32441461/balloon-occluded-retrograde-transvenous-obliteration-brto-of-gastric-varices-using-foam-sclerosant-and-a-reduced-balloon-inflation-time-feasibility-and-efficacy
#15
Warren Clements, Rebecca Barrett, Stuart K Roberts, Ammar Majeed, William Kemp, Heather K Moriarty
INTRODUCTION: Balloon-occluded retrograde transvenous obliteration (BRTO) is recommended for secondary prevention of gastric variceal bleeding in the American Association for the Study of Liver Disease (AASLD) guidelines, as an alternative to Transjugular intrahepatic portosystemic shunt (TIPS). However, there is significant heterogeneity in how BRTO is performed, including how and how long to occlude the outflow venous shunt amongst other variables such as variceal size, flow rate, agent used, and preparation technique...
August 2020: Journal of Medical Imaging and Radiation Oncology
https://read.qxmd.com/read/32407000/management-options-for-rectal-variceal-bleeding-in-the-setting-of-hepatic-encephalopathy
#16
REVIEW
Alice Lee, Thomas Surya Suhardja, Thang Chien Nguyen, Hanumant S Chouhan
Bleeding related to rectal varices associated with portal hypertension is rare but life-threatening, and requires prompt treatment. We reviewed the literature for patients with this complex presentation and current recommendations, and commented on a case at our institution of a 68-year-old man with Child-Pugh B alcoholic liver cirrhosis and hepatic encephalopathy who presented with profuse life-threatening rectal variceal bleeding. Treatment options for rectal varices in patients with hepatic encephalopathy were reviewed and a management algorithm was devised from current knowledge in the literature...
May 14, 2020: ANZ Journal of Surgery
https://read.qxmd.com/read/32309481/a-rare-case-of-hemorrhagic-shock-perisplenic-varices-with-large-splenorenal-shunt-treated-by-balloon-occluded-retrograde-transvenous-obliteration
#17
Sonmoon Mohapatra, Vipul Gidwani, Arkady Broder
No abstract text is available yet for this article.
November 2019: ACG Case Reports Journal
https://read.qxmd.com/read/32175982/the-combination-of-balloon-assisted-antegrade-transvenous-obliteration-and-transjugular-intrahepatic-portosystemic-shunt-for-the-management-of-cardiofundal-varices-hemorrhage
#18
Jiacheng Liu, Chongtu Yang, Songjiang Huang, Chen Zhou, Qin Shi, Kun Qian, Songlin Song, Bin Xiong
OBJECTIVES: In this study, we propose a modified balloon-occluded retrograde transvenous obliteration (BRTO) strategy - balloon-assisted antegrade transvenous obliteration (BAATO), and explore the feasibility, efficacy and safety of BAATO combined with transjugular intrahepatic portosystemic shunt (TIPS) in the treatment of cardiofundal varices (GOV2 or IGV1) hemorrhage. MATERIALS AND METHODS: In this retrospective cohort study, 15 patients with cardiofundal varices hemorrhage who received BAATO combined with TIPS procedures, from August 2017 to September 2019 in our center, were enrolled...
May 2020: European Journal of Gastroenterology & Hepatology
https://read.qxmd.com/read/32173771/balloon-occluded-retrograde-transvenous-obliteration-of-colonic-varices-a-case-report
#19
Chantal Liu, Sivasubramanian Srinivasan, Suresh B Babu, Raymond Chung
BACKGROUND: Ectopic varices are uncommon and typically due to underlying liver cirrhosis. They can be located in the duodenum, small intestines, colon or rectum, and may result in massive haemorrhage. While established guidelines exist for the management of oesophageal and gastric variceal bleeding, this is currently lacking for colonic varices. Beta-blockers, transjugular intrahepatic portosystemic shunt insertion and subtotal colectomy have been reported as management methods. However, there are only two other cases that have reported successfully treating colonic varices using balloon-occluded retrograde transvenous obliteration (BRTO), an endovascular procedure typically performed for gastric varices...
March 16, 2020: CVIR endovascular
https://read.qxmd.com/read/32104670/comparison-of-the-effects-of-tips-versus-brto-on-bleeding-gastric-varices-a-meta-analysis
#20
REVIEW
Zi Wen Wang, Jin Chao Liu, Fang Zhao, Wen Guang Zhang, Xu Hua Duan, Peng Fei Chen, Si Fu Yang, Hong Wei Li, Fu Wen Chen, Hong Sheng Shi, Jian Zhuang Ren
Background and Aim . Upper gastrointestinal bleeding is a threat to patients with gastric varices (GVs). Previous studies have concluded that both transjugular intrahepatic portosystemic shunt (TIPS) and balloon-occluded retrograde transvenous obliteration (BRTO) are effective treatments for patients with GV. We aimed to compare the efficiency and outcomes of these two procedures in GV patients through meta-analysis. Methods: The PubMed, Cochrane Library, EMBASE, and Web of Science databases were searched using the keywords: GV, bleeding, TIPS, and BRTO to identify relevant randomized controlled trials and cohort studies...
2020: Canadian Journal of Gastroenterology & Hepatology
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