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