The Experts below are selected from a list of 2463 Experts worldwide ranked by ideXlab platform
Jin Wook Chung - One of the best experts on this subject based on the ideXlab platform.
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long term outcomes of balloon occluded retrograde transvenous obliteration for the treatment of Gastric Varices a comparison of ethanolamine oleate and sodium tetradecyl sulfate
CardioVascular and Interventional Radiology, 2018Co-Authors: Jin Wook ChungAbstract:This study was performed to compare the long-term outcomes of balloon-occluded retrograde transvenous obliteration (BRTO) for Gastric Varices using ethanolamine oleate (EO) and sodium tetradecyl sulfate (STS). From January 2002 to June 2015, 142 patients underwent BRTO for the treatment of Gastric Varices using EO (n = 59) or STS (n = 83). We retrospectively reviewed the follow-up data related to the obliteration of Gastric Varices, rebleeding, and clinical complications. The cumulative recurrence rates of Gastric Varices after BRTO in each group were analyzed using the Kaplan–Meier method and compared using the log-rank test. The median follow-up periods were 23.9 (range 0.2–170.7) months in the BRTO with EO group and 19.9 (range 0.2–84.7) months in the BRTO with STS group. Technical success was achieved in 53 of 59 (89.8%) cases in the BRTO with EO group and 80 of 83 (96.4%) cases in the BRTO with STS group. The clinical success rates were 94.9% (56/59) in the BRTO with EO group and 96.4% (80/83) in the BRTO with STS group. The cumulative 1-, 3-, and 5-year recurrence rates for Gastric Varices were 3.8, 9.4, and 9.4% in the BRTO with EO group and 1.3, 2.5, and 3.8% in the BRTO with STS group, respectively (p = 0.684). BRTO using STS has comparable long-term outcomes to BRTO using EO for Gastric Varices.
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long term outcomes of balloon occluded retrograde transvenous obliteration for the treatment of Gastric Varices a comparison of ethanolamine oleate and sodium tetradecyl sulfate
CardioVascular and Interventional Radiology, 2018Co-Authors: Hee Ho Chu, Minuk Kim, Hyo Cheol Kim, Jong Hyuk Lee, Hwan Jun Jae, Jin Wook ChungAbstract:PURPOSE This study was performed to compare the long-term outcomes of balloon-occluded retrograde transvenous obliteration (BRTO) for Gastric Varices using ethanolamine oleate (EO) and sodium tetradecyl sulfate (STS). METHODS From January 2002 to June 2015, 142 patients underwent BRTO for the treatment of Gastric Varices using EO (n = 59) or STS (n = 83). We retrospectively reviewed the follow-up data related to the obliteration of Gastric Varices, rebleeding, and clinical complications. The cumulative recurrence rates of Gastric Varices after BRTO in each group were analyzed using the Kaplan-Meier method and compared using the log-rank test. RESULTS The median follow-up periods were 23.9 (range 0.2-170.7) months in the BRTO with EO group and 19.9 (range 0.2-84.7) months in the BRTO with STS group. Technical success was achieved in 53 of 59 (89.8%) cases in the BRTO with EO group and 80 of 83 (96.4%) cases in the BRTO with STS group. The clinical success rates were 94.9% (56/59) in the BRTO with EO group and 96.4% (80/83) in the BRTO with STS group. The cumulative 1-, 3-, and 5-year recurrence rates for Gastric Varices were 3.8, 9.4, and 9.4% in the BRTO with EO group and 1.3, 2.5, and 3.8% in the BRTO with STS group, respectively (p = 0.684). CONCLUSIONS BRTO using STS has comparable long-term outcomes to BRTO using EO for Gastric Varices.
G E Newman - One of the best experts on this subject based on the ideXlab platform.
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bleeding Gastric Varices secondary to splenic vein thrombosis successfully treated by splenic artery embolization
British Journal of Radiology, 1995Co-Authors: V G Mcdermott, R E England, G E NewmanAbstract:Abstract Splenic vein thrombosis is a complication of pancreatic carcinoma or pancreatitis. It may lead to Gastric Varices which are difficult to treat and splenectomy may be required to stop variceal bleeding. A case of bleeding Gastric Varices secondary to splenic vein thrombosis and successfully treated by splenic artery embolization is reported. Embolization was performed by transcatheter deposition of four Gianturco coils into the splenic artery. This resulted in reduced blood flow through the spleen with partial splenic infarction and cessation of variceal bleeding. There has been no recurrence of bleeding in the 6 months since the procedure. Literature review confirms that experience of using this treatment is very limited and it should therefore be restricted to patients at high risk from surgery.
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case report bleeding Gastric Varices secondary to splenic vein thrombosis successfully treated by splenic artery embolization
British Journal of Radiology, 1995Co-Authors: V G Mcdermott, R E England, G E NewmanAbstract:Splenic vein thrombosis is a complication of pancreatic carcinoma or pancreatitis. It may lead to Gastric Varices which are difficult to treat and splenectomy may be required to stop variceal bleeding. A case of bleeding Gastric Varices secondary to splenic vein thrombosis and successfully treated by splenic artery embolization is reported. Embolization was performed by transcatheter deposition of four Gianturco coils into the splenic artery. This resulted in reduced blood flow through the spleen with partial splenic infarction and cessation of variceal bleeding. There has been no recurrence of bleeding in the 6 months since the procedure. Literature review confirms that experience of using this treatment is very limited and it should therefore be restricted to patients at high risk from surgery.
Hiromu Mori - One of the best experts on this subject based on the ideXlab platform.
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balloon occluded retrograde transvenous obliteration of complex Gastric Varices assisted by temporary balloon occlusion of the splenic artery
Journal of Vascular and Interventional Radiology, 2011Co-Authors: Hiro Kiyosue, Shuichi Tanoue, Yayoi Kondo, Miyuki Maruno, Ryo Takaji, Shunro Matsuoto, Shinya Ueda, Hiromu MoriAbstract:Six cases of Gastric Varices with multiple afferent veins, in which balloon-occluded venography of the draining vein showed insufficient filling of Gastric Varices with contrast medium, were treated by balloon-occluded retrograde transvenous obliteration (BRTO) and temporary balloon occlusion of the splenic artery. The Gastric Varices were completely filled with sclerosant in all but one patient. No procedure-related complications were encountered. Computed tomography (CT) after the procedure showed complete thrombosis of the Varices in five patients and partial thrombosis in one patient. Temporary balloon occlusion of the splenic artery is a useful additional technique for complete obliteration of Gastric Varices in selected cases.
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transcatheter obliteration of Gastric Varices part 2 strategy and techniques based on hemodynamic features
Radiographics, 2003Co-Authors: Hiro Kiyosue, Hiromu Mori, Shunro Matsumoto, Yasunari Yamada, Yuzo Hori, Yuriko OkinoAbstract:Balloon-occluded retrograde transvenous obliteration (BRTO) has become the treatment of choice for Gastric Varices at many institutions in Japan. However, in some cases that involve complex types of afferent or draining veins, the use of standard BRTO for the treatment of Gastric Varices may be associated with several difficulties that can lead to unfavorable results. In such cases, additional techniques are required for successful treatment. These techniques include stepwise injection of the sclerosing agent, selective injection of the agent via a microcatheter, coil embolization of the afferent Gastric veins, double-balloon catheterization, and BRTO performed with percutaneous transhepatic portal venous access or transileocolic venous access. The majority of Gastric Varices can be treated successfully with a combination of these techniques. However, accurate assessment of the variceal hemodynamic pattern is the most important factor in ensuring successful treatment.
Seung Kwon Kim - One of the best experts on this subject based on the ideXlab platform.
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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, 2018Co-Authors: David J. Kim, Michael D. Darcy, Naganathan B. Mani, Auh Whan Park, Olaguoke Akinwande, Raja S. Ramaswamy, Seung Kwon KimAbstract: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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Transjugular intrahepatic portosystemic shunts versus balloon-occluded retrograde transvenous obliteration for the management of Gastric Varices: Treatment algorithm according to clinical manifestations
'Society of Gastrointestinal Intervention', 2016Co-Authors: Seung Kwon Kim, Steven Sauk, Carlos J. GuevaraAbstract:Transjugular intrahepatic portosystemic shunts (TIPS) are widely used in the management of bleeding Gastric Varices (GV). More recently, several studies have demonstrated balloon-occluded retrograde transvenous obliteration (BRTO) as an effective treatment method for bleeding isolated GV, especially in patients with contraindications for a TIPS placement. Both TIPS and BRTO can effectively treat bleeding GV with low rebleeding rates. Careful patient selection for TIPS and BRTO procedures is required to best treat the patient’s individual clinical situation
V G Mcdermott - One of the best experts on this subject based on the ideXlab platform.
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bleeding Gastric Varices secondary to splenic vein thrombosis successfully treated by splenic artery embolization
British Journal of Radiology, 1995Co-Authors: V G Mcdermott, R E England, G E NewmanAbstract:Abstract Splenic vein thrombosis is a complication of pancreatic carcinoma or pancreatitis. It may lead to Gastric Varices which are difficult to treat and splenectomy may be required to stop variceal bleeding. A case of bleeding Gastric Varices secondary to splenic vein thrombosis and successfully treated by splenic artery embolization is reported. Embolization was performed by transcatheter deposition of four Gianturco coils into the splenic artery. This resulted in reduced blood flow through the spleen with partial splenic infarction and cessation of variceal bleeding. There has been no recurrence of bleeding in the 6 months since the procedure. Literature review confirms that experience of using this treatment is very limited and it should therefore be restricted to patients at high risk from surgery.
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case report bleeding Gastric Varices secondary to splenic vein thrombosis successfully treated by splenic artery embolization
British Journal of Radiology, 1995Co-Authors: V G Mcdermott, R E England, G E NewmanAbstract:Splenic vein thrombosis is a complication of pancreatic carcinoma or pancreatitis. It may lead to Gastric Varices which are difficult to treat and splenectomy may be required to stop variceal bleeding. A case of bleeding Gastric Varices secondary to splenic vein thrombosis and successfully treated by splenic artery embolization is reported. Embolization was performed by transcatheter deposition of four Gianturco coils into the splenic artery. This resulted in reduced blood flow through the spleen with partial splenic infarction and cessation of variceal bleeding. There has been no recurrence of bleeding in the 6 months since the procedure. Literature review confirms that experience of using this treatment is very limited and it should therefore be restricted to patients at high risk from surgery.
