%0 Case Reports
%T Plug-assisted Retrograde Transvenous Obliteration-II for Gastric Varices: A Case Report.
%A Tsurusaki M
%A Kotera T
%A Kozuki R
%A Urase A
%A Hirayama A
%A Sofue K
%A Murakami T
%J Interv Radiol (Higashimatsuyama)
%V 8
%N 2
%D 2023 Jul 1
%M 37485487
暂无%R 10.22575/interventionalradiology.2022-0021
%X We present a case of gastric varices successfully treated with modified plug-assisted retrograde transvenous obliteration. A 45-year-old male patient had isolated fundal gastric varices caused by alcoholic cirrhosis. Contrast-enhanced computed tomography showed that the gastric varices were drained mainly via the gastro-renal shunt. The gastric varices were treated via plug-assisted retrograde transvenous obliteration using an IMPEDE vascular plug with a modified coil-assisted retrograde transvenous obliteration-II procedure. There were no complications during the procedure, and an endoscopic examination 3 months after the procedure revealed that the gastric varices had disappeared. To our knowledge, this is the first report on the application of plug-assisted retrograde transvenous obliteration-II using a newly designed IMPEDE vascular plug to avoid migration of the sclerosant.