Successful Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Varices Using Foam Sclerosant Followed by Glue Embolization of Gastrorenal Shunt via the Brachial Vein Approach in a Severely Obese Patient

Kota Tsuruya; Jun Koizumi; Tatsuya Sekiguchi; Takuya Hara; Yuka Sekiguchi; Kazuya Anzai; Yoshitaka Arase; Shunji Hirose; Tatehiro Kagawa

doi:10.3400/avd.cr.19-00084

Successful Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Varices Using Foam Sclerosant Followed by Glue Embolization of Gastrorenal Shunt via the Brachial Vein Approach in a Severely Obese Patient

Ann Vasc Dis. 2019 Dec 25;12(4):562-565. doi: 10.3400/avd.cr.19-00084.

Authors

Kota Tsuruya¹, Jun Koizumi², Tatsuya Sekiguchi², Takuya Hara², Yuka Sekiguchi², Kazuya Anzai¹, Yoshitaka Arase¹, Shunji Hirose¹, Tatehiro Kagawa¹

Affiliations

¹ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
² Department of Diagnostic Radiology, Tokai University School of Medicine, Isehara, Kanagawa, Japan.

Abstract

Balloon-occluded retrograde transvenous obliteration is an effective treatment for gastric varices. In this report, we illustrate a consecutive treatment strategy via brachial vein approach and n-butyl cyanoacrylate (NBCA) packing of the gastrorenal shunt (GRS) after injecting sclerosing agent in a severely obese patient. The brachial vein approach reduced the burden on the patient, and the closure of the GRS using NBCA shortened the procedure time. These techniques may improve patient comfort as well as reduce medical costs and the risks of several complications.

Keywords: balloon-occluded retrograde transvenous obliteration; brachial approach; foam sclerotherapy.