Balloon-Occluded Retrograde Transvenous Obliteration for Isolated Gastric Varices Draining through Pericardiophrenic Vein without Gastrorenal or Gastrocaval Shunts

作者：Maruno Miyuki; Kiyosue Hiro^*; Tanoue Shuichi; Hongo Norio; Mori Hiromu

来源：Journal of Vascular and Interventional Radiology, 2016, 27(2): 203-207.

DOI：10.1016/j.jvir.2015.11.028

Balloon-occluded retrograde transvenous obliteration (BRTO) is an effective and minimally invasive treatment for isolated gastric varices (GVs) that is usually performed through a gastrorenal shunt (GRS) or gastrocaval shunt (GCS). However, there are some cases in which GVs drain mainly into the left pericardiophrenic vein without an accessible GRS or GCS. This brief report presents four cases of GVs without a GRS/GCS treated by BRTO through the pericardiophrenic vein. BRTO was successfully performed with the use of flexible balloon catheters without any complications in all four patients, and the GVs were completely obliterated.

• 出版日期2016-2