A case of unsuccessful obliteration of percutaneous transhepatic gastric varices using the IMPEDE embolization plug

Author:

Masuda Sakue1ORCID,Tsukiyama Toshitaka2,Makazu Makomo1,Jinushi Ryuhei1ORCID,Koizumi Kazuya1,Nishino Takashi1,Shionoya Kento1ORCID,Kimura Karen1,Sumida Chihiro1,Kubota Jun1,Ichita Chikamasa1,Sasaki Akiko1,Kobayashi Masahiro1,Kako Makoto1,Uojima Haruki3

Affiliation:

1. Department of Gastroenterology Medicine Center Shonan Kamakura General Hospital Kamakura Japan

2. Department of Interventional Radiology Center Shonan Kamakura General Hospital Kamakura Japan

3. Department of Gastroenterology, Internal Medicine Kitasato University School of Medicine Sagamihara Japan

Abstract

Key Clinical MessageEmbolization with IMPEDE embolization plug cannot be confirmed on site. Therefore, we propose that the diameter of the device selected be up to 50% larger than the vein diameter to prevent embolization failure and recanalization.AbstractBalloon‐occluded retrograde transvenous obliteration and percutaneous transhepatic obliteration (PTO) are performed for treating sporadic gastric varices. IMPEDE embolization plug has been recently developed for these procedures; however, no studies have reported its use. This is the first report on its use in PTO of gastric varices.

Publisher

Wiley

Subject

General Medicine

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