Clinical Case Reports (May 2023)

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

  • Sakue Masuda,
  • Toshitaka Tsukiyama,
  • Makomo Makazu,
  • Ryuhei Jinushi,
  • Kazuya Koizumi,
  • Takashi Nishino,
  • Kento Shionoya,
  • Karen Kimura,
  • Chihiro Sumida,
  • Jun Kubota,
  • Chikamasa Ichita,
  • Akiko Sasaki,
  • Masahiro Kobayashi,
  • Makoto Kako,
  • Haruki Uojima

DOI
https://doi.org/10.1002/ccr3.7323
Journal volume & issue
Vol. 11, no. 5
pp. n/a – n/a

Abstract

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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. Abstract 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.

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