Plug-assisted Retrograde Transvenous Obliteration-II for Gastric Varices: A Case Report

• Published in: Interventional Radiology Vol. 8; no. 2; pp. 75 - 79
• Main Authors: Tsurusaki, Masakatsu, Kotera, Taku, Kozuki, Ryohei, Urase, Atsushi, Hirayama, Ayumi, Sofue, Keitaro, Murakami, Takamichi
• Format: Journal Article
• Language: English
• Published: Japan Japanese Society of Interventional Radiology 01-07-2023; The Japanese Society of Interventional Radiology
• Subjects: balloon-occluded retrograde transvenous obliteration; Case Report; gastric varices; IMPEDE vascular plug; plug-assisted retrograde transvenous obliteration; shape-memory polymer; shape-memory polymer; gastric varices; balloon-occluded retrograde transvenous obliteration; IMPEDE vascular plug; plug-assisted retrograde transvenous obliteration
• ISSN: 2432-0935; 2432-0935
• DOI: 10.22575/interventionalradiology.2022-0021

We present a case of gastric varices successfully treated with modified plug-assisted retrograde transvenous obliteration. A 45-year-old male patient had isolated fundal gastric varices caused by alcoholic cirrhosis. Contrast-enhanced computed tomography showed that the gastric varices were drained mainly via the gastro-renal shunt. The gastric varices were treated via plug-assisted retrograde transvenous obliteration using an IMPEDE vascular plug with a modified coil-assisted retrograde transvenous obliteration-II procedure. There were no complications during the procedure, and an endoscopic examination 3 months after the procedure revealed that the gastric varices had disappeared. To our knowledge, this is the first report on the application of plug-assisted retrograde transvenous obliteration-II using a newly designed IMPEDE vascular plug to avoid migration of the sclerosant.