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

28 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
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

Keywords

Embolization
Portal hypertension
Varices

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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

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.

@article{58e4dfd43b21487092b9f34d04b967ae,

title = "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)",

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.",

keywords = "Embolization, Portal hypertension, Varices",

author = "Kim, {David J.} and Darcy, {Michael D.} and Mani, {Naganathan B.} and Park, {Auh Whan} and Olaguoke Akinwande and Ramaswamy, {Raja S.} and Kim, {Seung Kwon}",

note = "Funding Information: This paper was awarded Magna Cum Laude for poster at 2017 Cardiovascular and Interventional Radiological Society of Europe (CIRSE) meeting, Copenhagen, Denmark. The authors declare that they have no conflict of interest. Publisher Copyright: {\textcopyright} 2018, Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).",

year = "2018",

month = jun,

day = "1",

doi = "10.1007/s00270-018-1896-1",

language = "English",

volume = "41",

pages = "835--847",

journal = "Cardiovascular and Interventional Radiology",

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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

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

TY - JOUR

T1 - Modified Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Techniques for the Treatment of Gastric Varices

T2 - Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)/Coil-Assisted Retrograde Transvenous Obliteration (CARTO)/Balloon-Occluded Antegrade Transvenous Obliteration (BATO)

AU - Kim, David J.

AU - Darcy, Michael D.

AU - Mani, Naganathan B.

AU - Park, Auh Whan

AU - Akinwande, Olaguoke

AU - Ramaswamy, Raja S.

AU - Kim, Seung Kwon

N1 - Funding Information: This paper was awarded Magna Cum Laude for poster at 2017 Cardiovascular and Interventional Radiological Society of Europe (CIRSE) meeting, Copenhagen, Denmark. The authors declare that they have no conflict of interest. Publisher Copyright: © 2018, Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

PY - 2018/6/1

Y1 - 2018/6/1

N2 - 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.

AB - 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.

KW - Embolization

KW - Portal hypertension

KW - Varices

UR - http://www.scopus.com/inward/record.url?scp=85041502124&partnerID=8YFLogxK

U2 - 10.1007/s00270-018-1896-1

DO - 10.1007/s00270-018-1896-1

M3 - Review article

C2 - 29417267

AN - SCOPUS:85041502124

SN - 0174-1551

VL - 41

SP - 835

EP - 847

JO - Cardiovascular and Interventional Radiology

JF - Cardiovascular and Interventional Radiology

IS - 6

ER -

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

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