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Comparison of Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Using Ethanolamine Oleate (EO), BRTO Using Sodium Tetradecyl Sulfate (STS) Foam and Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO)

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Author(s)
Young Hwan KimChan Sun KimUng Rae KangSee Hyung KimJoo Hwan Kim
Keimyung Author(s)
Kim, Young HwanKim, See Hyung
Department
Dept. of Radiology (영상의학)
Journal Title
Cardiovascular And Interventional Radiology
Issued Date
2016
Volume
39
Issue
6
Keyword
PARTOPlug-assisted transvenous obliterationBRTOGastric varixVascular plug
Abstract
Purpose To compare the clinical outcomes of balloonoccluded
retrograde transvenous obliteration (BRTO) using
ethanolamine oleate (EO), BRTO using sodium tetradecyl
sulfate (STS) foam, and vascular plug-assisted retrograde
transvenous obliteration (PARTO).
Materials and Methods From April 2004 to February
2015, ninety-five patients underwent retrograde transvenous
obliteration for gastric varices were analyzed retrospectively.
BRTO with EO was performed in 49 patients,
BRTO with STS foam in 25, and PARTO in 21. Among
them, we obtained follow-up data in 70 patients. Recurrence
of gastric varices was evaluated by follow-up endoscopy
or CT. Medical records were reviewed for the
clinical efficacy. Statistical analyses were performed by
Kaplan–Meier method, Chi-square, Fisher’s, and Kruskal–
Wallis tests.
Results Technical and clinical success was 94.7 %. As
major complications, a hemoglobinuria and a death due to
disseminated intravascular coagulation (DIC) were occurred
in two patients with BRTO using EO. Recurrence
occurred more frequently in PARTO group (P\0.05).
Recurrence occurred in three patients in BRTO using EO
group and four patients in PARTO group with 3.2 and
32.8 % of each expected 1-year recurrence rates. There
was no recurrence in BRTO using STS group. Abdominal
pain occurred more frequently in BRTO using EO than
BRTO using STS foam and PARTO (P\0.05). Procedure
time of PARTO was shorter than two conventional BRTOs
(P\0.05).
Conclusions BRTO using STS foam or PARTO is better
than BRTO using EO for treatment of gastric varices in
terms of complication or procedure time. However,
PARTO showed frequent recurrence of gastric varices
during the long-term follow-up rather than BRTO.
Keimyung Author(s)(Kor)
김영환
김시형
Publisher
School of Medicine
Citation
Young Hwan Kim et al. (2016). Comparison of Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) Using Ethanolamine Oleate (EO), BRTO Using Sodium Tetradecyl Sulfate (STS) Foam and Vascular Plug-Assisted Retrograde Transvenous Obliteration (PARTO). Cardiovascular And Interventional Radiology, 39(6), 840–846. doi: 10.1007/s00270-015-1288-8
Type
Article
ISSN
0174-1551
Source
http://lps3.link.springer.com.proxy.dsmc.or.kr/article/10.1007%2Fs00270-015-1288-8
DOI
10.1007/s00270-015-1288-8
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33162
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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