Successful Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Varices Using Foam Sclerosant Followed by Glue Embolization of Gastrorenal Shunt via the Brachial Vein Approach in a Severely Obese Patient.

Abstract

Balloon-occluded retrograde transvenous obliteration is an effective treatment for gastric varices. In this report, we illustrate a consecutive treatment strategy via brachial vein approach and n-butyl cyanoacrylate (NBCA) packing of the gastrorenal shunt (GRS) after injecting sclerosing agent in a severely obese patient. The brachial vein approach reduced the burden on the patient, and the closure of the GRS using NBCA shortened the procedure time. These techniques may improve patient comfort as well as reduce medical costs and the risks of several complications.

• Authors: Kota Tsuruya, Jun Koizumi, Tatsuya Sekiguchi, Takuya Hara, Yuka Sekiguchi, Kazuya Anzai, Yoshitaka Arase, Shunji Hirose, Tatehiro Kagawa
• Journal: Annals of vascular diseases (Ann Vasc Dis) Vol. 12 Issue 4 Pg. 562-565 (Dec 25 2019) ISSN: 1881-641X [Print] Japan
• PMID: 31942222 (Publication Type: Journal Article)
• Copyright: Copyright © 2019 Annals of Vascular Diseases.