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

Pengxu Ding1,2, Chao Liu1, Xinwei Han1

  • 1Department of Intervention, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Journal of Interventional Medicine
|November 22, 2021
PubMed

Insights

Coil-assisted retrograde transvenous obliteration (CARTO) offers a promising alternative for treating gastric varices bleeding in liver cirrhosis patients. This modified technique avoids complications associated with traditional balloon-occluded retrograde transvenous obliteration (BRTO).

Area of Science:

  • Gastroenterology and Interventional Radiology
  • Hepatology
  • Vascular Interventions

Background:

  • Gastric varices are a serious complication of liver cirrhosis, leading to significant bleeding and mortality.
  • Transjugular intrahepatic portosystemic shunt (TIPS) and balloon-occluded retrograde transvenous obliteration (BRTO) are established treatments.
  • Traditional BRTO faces challenges in China due to complication risks, limiting its acceptance.

Observation:

  • Modified BRTO techniques, including coil-assisted (CARTO) and plug-assisted (PARTO) methods, are emerging as safer alternatives.
  • These modified techniques aim to overcome the limitations and complications of conventional BRTO.
  • This report details the first reported case of CARTO performed in China for gastric varices bleeding.

Findings:

  • Coil-assisted retrograde transvenous obliteration (CARTO) was successfully employed to treat gastric varices bleeding.
  • The procedure demonstrated efficacy in managing this severe complication of portal hypertension.
  • The case highlights the potential of CARTO as a viable treatment option in the Chinese population.

Implications:

  • CARTO presents a potentially safer and effective alternative to traditional BRTO for gastric varices in liver cirrhosis patients.
  • This case report may encourage wider adoption and further investigation of CARTO in China.
  • Further research is warranted to establish the long-term outcomes and comparative effectiveness of CARTO versus other interventions.

Keywords:
Coil assisted retrograde transvenous obliterationGastric variceal bleedingGastric varices

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