PARTO via a gastrocaval shunt is safe and effective. The patient did not experience any additional bleeding events. On CT, the gastric varix completely disappeared. The patient underwent PARTO via a gastrocaval shunt to manage gastric variceal bleeding after failed TIPS revision. Diagnoses:Įndoscopy and computed tomography (CT) revealed a gastric varix and thrombotic-occluded transjugular intrahepatic portosystemic shunt (TIPS) stent. Patient concerns:Ī 46-year-old woman with hepatitis B virus and liver cirrhosis visited the emergency room in our hospital with the main symptom of hematemesis and hematochezia. Here, we report a case of gastric varix treated with PARTO via a gastrocaval shunt. Therefore, plug-assisted retrograde transvenous obliteration (PARTO) is usually performed via a gastrorenal shunt. Most gastric varices at the fundus drain into the left renal vein via the gastrorenal shunt (80–85% of cases) or the inferior vena cava via the gastrocaval shunt (10–15%).
#Obliteration license
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. The authors have no conflicts to disclose. This study was approved by the Institutional Review Board (IRB) of Pusan National University Yangsan Hospital (IRB No: 05-2021-195) in accordance with the Declaration of Helsinki, and written informed consent was obtained from the patient for publication of this report. This study was supported by a 2021 research grant from Pusan National University Yangsan Hospital. Plug-assisted retrograde transvenous obliteration via gastrocaval shunt for the gastric variceal bleeding: a case report.
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How to cite this article: Jang JY, Jeon UB, Kim JH, Kim TU, Ryu H, Cho M, Hong YM, Yoon KT. ∗Correspondence: Ung Bae Jeon, Department of Radiology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea (e-mail: ).Ībbreviations: BRTO = balloon-occluded retrograde transvenous obliteration, CT = computed tomography, IVC = inferior vena cava, PARTO = plug-assisted retrograde transvenous obliteration, TIPS = transjugular intrahepatic portosystemic shunt.
ADepartment of Radiology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, KoreaīDepartment of Internal Medicine, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea.
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