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

Prasoon P. Mohan, Jesus Beltran-Perez, Preeti P. Ahlman

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)165-167
Number of pages3
JournalInternational Journal of Gastrointestinal Intervention
Volume8
Issue number4
DOIs
StatePublished - 2019

Keywords

  • Balloon
  • Embolization
  • Gastrix varix
  • Transhepatic

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology
  • Oncology
  • Radiology Nuclear Medicine and imaging

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