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Efficacy and safety of inflator-monitored balloon-occluded retrograde transvenous obliteration for gastric varices.
Lee, Dong Chan; Lee, Hyoung Nam; Cho, Youngjong; Park, Sung-Joon; Lee, Sangjoon; Kim, Seung Soo; Park, Chan Ho; Park, Hyerim.
Afiliación
  • Lee DC; Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Republic of Korea.
  • Lee HN; Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Republic of Korea. radiology2010.hnl@gmail.com.
  • Cho Y; Department of Radiology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Republic of Korea.
  • Park SJ; Department of Radiology, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
  • Lee S; Vascular Center, The Eutteum Orthopedic Surgery Hospital, Paju, Republic of Korea.
  • Kim SS; Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Republic of Korea.
  • Park CH; Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Republic of Korea.
  • Park H; Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Republic of Korea.
Jpn J Radiol ; 2024 Sep 05.
Article en En | MEDLINE | ID: mdl-39235673
ABSTRACT

PURPOSE:

To investigate the diagnostic efficacy of inflator-monitored balloon-occluded retrograde transvenous obliteration (ImBRTO) in detecting balloon rupture and to evaluate the efficacy and safety of the ImBRTO in treating gastric varices.

METHODS:

Between June 2018 and June 2024, 31 consecutive patients (age 61.7 ± 12.4 years; male 20, female 11) underwent ImBRTO for gastric varices. An occlusion balloon was inflated with an inflation device to monitor for balloon rupture during sclerosing, maintaining the balloon inflation for at least 3 h.

RESULTS:

The technical success rate was 100%. The incidence of balloon rupture was 6.5% (2/31), both diagnosed by a pressure drop in the inflation device. In one of the two patients, catheter replacement and an additional injection of a sclerosing agent were required due to early balloon rupture (< 3 h). Clinical success and complete elimination of gastric varices were achieved in all cases. No procedure-related complications were observed. There were no cases of recurrent variceal bleeding at the end of the follow-up (median 5.2 months).

CONCLUSION:

ImBRTO proves to be an effective and safe technique for treating gastric varices. The real-time monitoring of balloon integrity allows for timely decisions, resulting in excellent clinical outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Jpn J Radiol Asunto de la revista: DIAGNOSTICO POR IMAGEM / RADIOLOGIA / RADIOTERAPIA Año: 2024 Tipo del documento: Article Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Jpn J Radiol Asunto de la revista: DIAGNOSTICO POR IMAGEM / RADIOLOGIA / RADIOTERAPIA Año: 2024 Tipo del documento: Article Pais de publicación: Japón