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

Key Clinical Message Embolization 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. Balloon‐occluded retrograde transvenous obliterat...

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Bibliographic Details
Published in:Clinical case reports 2023-05, Vol.11 (5), p.e07323-n/a
Main Authors: Masuda, Sakue, Tsukiyama, Toshitaka, Makazu, Makomo, Jinushi, Ryuhei, Koizumi, Kazuya, Nishino, Takashi, Shionoya, Kento, Kimura, Karen, Sumida, Chihiro, Kubota, Jun, Ichita, Chikamasa, Sasaki, Akiko, Kobayashi, Masahiro, Kako, Makoto, Uojima, Haruki
Format: Article
Language:English
Subjects:
Antibodies
Antigens
balloon‐occluded retrograde transvenous obliteration
Case Report
Case reports
Catheters
Embolization
Hepatitis C
IMPEDE embolization plug
percutaneous transhepatic obliteration
peripheral embolization
Proteins
shape memory polymer
Tomography
Veins & arteries
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Summary:Key Clinical Message Embolization 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. Balloon‐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.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.7323