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

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

doi:10.5152/dir.2022.21193

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

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

Radiology

Research output: Contribution to journal › Review article › peer-review

4 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 language	English (US)
Pages (from-to)	146-154
Number of pages	9
Journal	Diagnostic and Interventional Radiology
Volume	29
Issue number	1
DOIs	https://doi.org/10.5152/dir.2022.21193
State	Published - 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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10.5152/dir.2022.21193

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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.",

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AU - Wong, Brian

AU - Khan, Hasan

AU - Saleem, Arsalan

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

Abstract

Keywords

ASJC Scopus subject areas

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