Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO)

David J. Kim; Michael D. Darcy; Naganathan B. Mani; Auh Whan Park; Olaguoke Akinwande; Raja S. Ramaswamy; Seung Kwon Kim

doi:10.1007/s00270-018-1896-1

Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO)

David J. Kim, Michael D. Darcy, Naganathan B. Mani, Auh Whan Park, Olaguoke Akinwande, Raja S. Ramaswamy, Seung Kwon Kim

Research output: Contribution to journal › Review article › peer-review

35 Scopus citations

Abstract

Gastric varices in the setting of portal hypertension occur less frequently than esophageal varices but occur at lower portal pressures and are associated with more massive bleeding events and higher mortality rate. Balloon-occluded retrograde transvenous obliteration (BRTO) of gastric varices has been well documented as an effective therapy for portal hypertensive gastric varices. However, BRTO requires lengthy, higher-level post-procedural monitoring and can have complications related to balloon rupture and adverse effects of sclerosing agents. Several modified BRTO techniques have been developed including vascular plug-assisted retrograde transvenous obliteration, coil-assisted retrograde transvenous obliteration, and balloon-occluded antegrade transvenous obliteration. This article provides an overview of various modified BRTO techniques.

Original language	English (US)
Pages (from-to)	835-847
Number of pages	13
Journal	Cardiovascular and Interventional Radiology
Volume	41
Issue number	6
DOIs	https://doi.org/10.1007/s00270-018-1896-1
State	Published - Jun 1 2018
Externally published	Yes

Keywords

Embolization
Portal hypertension
Varices

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Access to Document

10.1007/s00270-018-1896-1

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Kim, D. J., Darcy, M. D., Mani, N. B., Park, A. W., Akinwande, O., Ramaswamy, R. S., & Kim, S. K. (2018). Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO). Cardiovascular and Interventional Radiology, 41(6), 835-847. https://doi.org/10.1007/s00270-018-1896-1

Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO). / Kim, David J.; Darcy, Michael D.; Mani, Naganathan B. et al.
In: Cardiovascular and Interventional Radiology, Vol. 41, No. 6, 01.06.2018, p. 835-847.

Research output: Contribution to journal › Review article › peer-review

Kim, DJ, Darcy, MD, Mani, NB, Park, AW, Akinwande, O, Ramaswamy, RS & Kim, SK 2018, 'Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO)', Cardiovascular and Interventional Radiology, vol. 41, no. 6, pp. 835-847. https://doi.org/10.1007/s00270-018-1896-1

Kim DJ, Darcy MD, Mani NB, Park AW, Akinwande O, Ramaswamy RS et al. Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices: Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO). Cardiovascular and Interventional Radiology. 2018 Jun 1;41(6):835-847. doi: 10.1007/s00270-018-1896-1

Kim, David J. ; Darcy, Michael D. ; Mani, Naganathan B. et al. / Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices : Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO). In: Cardiovascular and Interventional Radiology. 2018 ; Vol. 41, No. 6. pp. 835-847.

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abstract = "Gastric varices in the setting of portal hypertension occur less frequently than esophageal varices but occur at lower portal pressures and are associated with more massive bleeding events and higher mortality rate. Balloon-occluded retrograde transvenous obliteration (BRTO) of gastric varices has been well documented as an effective therapy for portal hypertensive gastric varices. However, BRTO requires lengthy, higher-level post-procedural monitoring and can have complications related to balloon rupture and adverse effects of sclerosing agents. Several modified BRTO techniques have been developed including vascular plug-assisted retrograde transvenous obliteration, coil-assisted retrograde transvenous obliteration, and balloon-occluded antegrade transvenous obliteration. This article provides an overview of various modified BRTO techniques.",

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