Recent development of balloon-occluded retrograde transvenous obliteration

Journal of Gastroenterology and Hepatology
Masao KobayakawaHidekazu Suzuki

Abstract

Gastric varices (GVs) are a major complication of portal hypertension in patients with liver cirrhosis. The mortality rate associated with the bleeding from GVs is not low. Balloon-occluded retrograde transvenous obliteration (BRTO) was first introduced by Kanagawa et al. as a treatment for isolated GVs in 1994. It has been performed most frequently in Asia, especially in Japan. Ethanolamine oleate was the original sclerosant used in the therapy. Since the late 2000s, BRTO using sodium tetradecyl sulfate foam or polidocanol foam as a sclerosant has been performed in many countries other than Japan. Then, early in the 2010s, modified BRTO techniques including vascular plug-assisted retrograde transvenous obliteration and coil-assisted retrograde transvenous obliteration were developed as an alternative treatment for GVs. This article provides a historical overview of BRTO using various sclerosants and modified BRTO techniques, such as plug-assisted retrograde transvenous obliteration and coil-assisted retrograde transvenous obliteration.

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Citations

Dec 26, 2019·Cardiovascular and Interventional Radiology·Akira YamamotoYukio Miki
Jun 6, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Antonio V Sterpetti, Steven K Kappes
Feb 28, 2020·Canadian Journal of Gastroenterology & Hepatology·Zi Wen WangJian Zhuang Ren
May 26, 2021·BMC Infectious Diseases·Yao LinZhaocai Zhang
Jan 15, 2021·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Xuefeng LuoLi Yang

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