Accelerated balloon-occluded retrograde transvenous obliteration without indwelling balloon occlusion for gastric varices with small gastrorenal shunts using a terminal gelfoam plug.

Abstract

OBJECTIVE:

We performed balloon-occluded retrograde transvenous obliteration in three consecutive patients with small gastric varices without indwelling balloon catheter occlusion. Foam of 3% sodium tetradecyl sulfate mixed with iodized oil and room air was injected retrograde through the gastrorenal shunt, followed by a thick absorbable gelatin sponge (Gelfoam, Pfizer) plug under only 10-minute balloon occlusion.

CONCLUSION:

Because complete obliteration of gastric varices was achieved in all patients without any complications, our technique is considered to be safe and effective for small gastric varices.

• Authors: Wael M Darwish, Sean R Dariushnia, Sean Darushnia, Wael E Saad
• Journal: AJR. American journal of roentgenology (AJR Am J Roentgenol) Vol. 203 Issue 2 Pg. 439-41 (Aug 2014) ISSN: 1546-3141 [Electronic] United States
• PMID: 25055282 (Publication Type: Journal Article)

Chemical References

• Sclerosing Solutions
• Iodized Oil
• Sodium Tetradecyl Sulfate

Topics

• Adult
• Aged
• Balloon Occlusion (methods)
• Esophageal and Gastric Varices (therapy)
• Female
• Gelatin Sponge, Absorbable (therapeutic use)
• Humans
• Iodized Oil (therapeutic use)
• Male
• Middle Aged
• Retrospective Studies
• Sclerosing Solutions (therapeutic use)
• Sclerotherapy (methods)
• Sodium Tetradecyl Sulfate (therapeutic use)
• Treatment Outcome