"Balloon-occluded retrograde transvenous obliteration (BRTO) is a technique used by interventional radiologists in the treatment of gastric varices, particularly those with prominent infra-diaphragmatic portosystemic venous shunts (e.g. gastro-renal and gastro-caval shunts)."
"The technique is more popular in Asia, where it is a first-line treatment for gastric variceal haemorrhage 1. Nonetheless, modified BRTO techniques are gaining popularity in Western countries, particularly in the setting of failed endoscopic intervention and in patients with a contraindication for TIPS 2,3."
"contraindications for TIPS (e.g. high MELD score, hepatic encephalopathy)"
"TIPS"
Expected headings
"Preprocedural evaluation"
"Balloon-occluded retrograde transvenous obliteration (BRTO) is a technique used by interventional radiologists in the treatment of gastric varices, particularly those with prominent infra-diaphragmatic portosystemic venous shunts (e.g. gastro-renal and gastro-caval shunts)."
"contraindications for TIPS (e.g. high MELD score, hepatic encephalopathy)"
"the target shunt (typically gastro-renal shunt via left renal vein) catheterised using with selective catheter (e.g. Simmons or Cobra selective catheter)"