A comprehensive review of transvenous obliteration techniques in the management of gastric varices

Irfan Masood, Amin Moshksar, Brian Wong, Hasan Khan, Arsalan Saleem

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Bleeding gastric varices (GVs) is a life-threatening complication of portal hypertension, with higher morbidity and mortality rates compared with bleeding esophageal varices (EVs). The endovascular techniques for the management of GVs are mainly transjugular intrahepatic portosystemic shunt (TIPS) and transvenous obliteration of the GVs. Transvenous obliteration techniques can be an alternative or an adjunct to TIPS for treatment of GVs, depending on the clinical scenario, and are less invasive than TIPS. However, these procedures are associated with increased portal pressure and related complications, mainly worsening of the EVs. In this article, the different techniques of transvenous obliteration of GVs, their indications, contraindications, and outcomes are discussed.

Original languageEnglish (US)
Pages (from-to)146-154
Number of pages9
JournalDiagnostic and Interventional Radiology
Volume29
Issue number1
DOIs
StatePublished - Jan 31 2023

Keywords

  • Cirrhosis
  • TIPS
  • gastric varices
  • transvenous obliteration
  • upper GI bleeding

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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