Vascular Plug-assisted Retrograde Transvenous Obliteration of Portosystemic Shunts for Refractory Hepatic Encephalopathy: a Case Report

Overview

Journal Case Rep Radiol

Publisher Wiley

Specialty Radiology

Date 2014 Apr 19

PMID 24744943

Citations 7

Authors

Jonathan K Park

Sung-Ki Cho

Stephen Kee

Edward W Lee

Affiliations

Soon will be listed here.

Abstract

While balloon-assisted retrograde transvenous obliteration (BRTO) has been used for two decades in Asia for the management of gastric variceal bleeding, it is still an emerging therapy elsewhere. Given the shunt closure brought about by the procedure, BRTO has also been used for the management of portosystemic encephalopathy with promising results. Modified versions of BRTO have been developed, including plug-assisted retrograde transvenous obliteration (PARTO), where a vascular plug is deployed within a portosystemic shunt. To our knowledge, we present the first North American case of PARTO in the setting of a large splenorenal shunt for the management of portosystemic encephalopathy.

Citing Articles

Coil-assisted retrograde transvenous obliteration for gastric varices in a Chinese case.

Ding P, Liu C, Han X, Lee E J Interv Med. 2021; 4(2):94-96.

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Change in Portal Pressure and Clinical Outcome in Cirrhotic Patients with Gastric Varices after Plug-Assisted Retrograde Transvenous Obliteration.

Park J, Yoo J, Kim S, Jeong S, Jang J, Lee S Gut Liver. 2020; 14(6):783-791.

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Retrograde Transvenous Obliteration (RTO): A New Treatment Option for Hepatic Encephalopathy.

Lee E, Lee A, Saab S, Kee S Dig Dis Sci. 2020; 65(9):2483-2491.

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Evolution of Retrograde Transvenous Obliteration Techniques.

Patel M, Molvar C Semin Intervent Radiol. 2018; 35(3):185-193.

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Prevention and management of gastroesophageal varices.

Seo Y Clin Mol Hepatol. 2017; 24(1):20-42.

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