Balloon-occluded retrograde transvenous obliteration successfully performed for a large gastric varix in combination with temporary occlusion of the splenic artery in a child. (3rd March 2015)

• Record Type: Journal Article
• Authors: Yamagami, Takuji; Yoshimatsu, Rika; Kajiwara, Kenji; Onitake, Yoshiyuki; Hiyama, Eizou; Awai, Kazuo
• Is Part Of: Acta radiologica open. Volume 4:Number 3(2015)
• Publication Date: 2015-03-03
• Subjects: Interventional radiology -- portography -- stomach -- varices -- veins -- therapeutic blockade; Radiology -- Periodicals; Diagnostic Imaging -- Periodicals; Radiology; Periodicals; 616.075705
• DOI: 10.1177/2047981614555141
• Languages: English
• ISSNs: 2058-4601

Abstract

We encountered a 10-year-old boy with a gastric varix that occurred after long-term treatment by Kasai's hepatic portoenterostomy for biliary atresia for which balloon-occluded retrograde transvenous obliteration (B-RTO) was performed. With the standard B-RTO procedure, sufficient distribution in the entire gastric varix could not be obtained. However, the gastric varix was successfully treated by the addition of occlusion of the splenic artery by inflation of a balloon catheter during B-RTO.