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Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2022, Vol. 10 ›› Issue (04): 436-443. doi: 10.3877/cma.j.issn.2095-5782.2022.04.017

• Review • Previous Articles     Next Articles

Application of balloon-occluded retrograde transvenous obliteration in the treatment of gastric varices

Qiwei Liang1, Yi Huang1, Yukuan Tang1, Hanwei Chen1,()   

  1. 1. Minimally Invasive Interventional Department, Panyu People′s Hospital, Medical Imaging of Panyu Institute, Guangdong Guangzhou 511400, China
  • Received:2022-03-18 Online:2022-11-25 Published:2022-12-15
  • Contact: Hanwei Chen

Abstract:

Gastric varices bleeding is one of the most serious complications of liver cirrhosis. Balloon-retrograde transvenous obliteration (BRTO) can effectively control variceal bleeding and improve liver function. In recent years, the status of BRTO clinical application in the world is gradually improving, which has become an interventional therapy comparable to transjugular intrahepatic portosystemic shunt (TIPS). However, due to the limitations of interventional instruments, drugs, and doctors ' proficiency, BRTO is not widely used in China, so that its clinical value is often ignored. This article reviews the origin and development, indications, contraindications, operation procedures, complications, and improved methods of BRTO.

Key words: Liver cirrhosis, Portal hypertension, Gastric varices, Treatment, BRTO

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