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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1811527
Short Communication

Liquid-Embolic Assisted Retrograde Transvenous Obliteration of Bleeding Gastric Varices: The LARTO Technique

Autoren

  • Suryansh Bajaj

    1   Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

  • Mili Rohilla

    2   Department of Radiology, Saint Vincent Medical Center, Worcester, Massachusetts, United States

  • Amit Ramjit

    3   Department of Interventional Radiology, Maimonides Medical Center, New York, New York, United States

  • Vibhor Wadhwa

    4   Department of Interventional Radiology, Elliot Hospital, Manchester, New Hampshire, United States
    5   Department of Interventional Radiology, Southern New Hampshire Radiology Consultants, Bedford, New Hampshire, United States
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Abstract

Balloon-occluded retrograde transvenous obliteration (BRTO) has been an established technique for treating bleeding gastric varices. However, the traditional BRTO technique requires prolonged balloon inflation and can be resource-intensive. Advanced variations of classic BRTO technique using coils (CARTO) or plugs (PARTO) have been described, but can be cost prohibitive. The authors report a novel variation – liquid-embolic assisted retrograde transvenous obliteration (LARTO) – utilizing the LAVA liquid embolic system to occlude the outflow vein during variceal obliteration, instead of coils or plugs.

Keywords

BRTO - LARTO - liquid-embolic assisted retrograde transvenous obliteration - LAVA - liquid embolic

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.




Publikationsverlauf

Artikel online veröffentlicht:
29. September 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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