Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant
Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2...
Ausführliche Beschreibung
Autor*in: |
Jihyun Lee [verfasserIn] Jeonghyun Jo [verfasserIn] Jae Hyung Park [verfasserIn] Gyoo-Sik Jung [verfasserIn] Byeong-Ho Park [verfasserIn] |
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Englisch ; Koreanisch |
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2016 |
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In: 대한영상의학회지 - The Korean Society of Radiology, 2019, 75(2016), 2, Seite 92-103 |
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Übergeordnetes Werk: |
volume:75 ; year:2016 ; number:2 ; pages:92-103 |
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DOAJ007823231 |
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520 | |a Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. | ||
650 | 4 | |a gelatin sponges | |
650 | 4 | |a absorbable | |
650 | 4 | |a esophageal and gastric varices | |
650 | 4 | |a balloon occlusion | |
650 | 4 | |a gastrointestinal hemorrhage | |
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700 | 0 | |a Byeong-Ho Park |e verfasserin |4 aut | |
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(DE-627)DOAJ007823231 (DE-599)DOAJc419c4daf9b342c1aa0f449f17587799 DE-627 ger DE-627 rakwb eng kor R895-920 Jihyun Lee verfasserin aut Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. gelatin sponges absorbable esophageal and gastric varices balloon occlusion gastrointestinal hemorrhage Medical physics. Medical radiology. Nuclear medicine Jeonghyun Jo verfasserin aut Jae Hyung Park verfasserin aut Gyoo-Sik Jung verfasserin aut Byeong-Ho Park verfasserin aut In 대한영상의학회지 The Korean Society of Radiology, 2019 75(2016), 2, Seite 92-103 (DE-627)176063896X 22882928 nnns volume:75 year:2016 number:2 pages:92-103 https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/article/c419c4daf9b342c1aa0f449f17587799 kostenfrei https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/toc/1738-2637 Journal toc kostenfrei https://doaj.org/toc/2288-2928 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2055 GBV_ILN_2111 AR 75 2016 2 92-103 |
spelling |
(DE-627)DOAJ007823231 (DE-599)DOAJc419c4daf9b342c1aa0f449f17587799 DE-627 ger DE-627 rakwb eng kor R895-920 Jihyun Lee verfasserin aut Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. gelatin sponges absorbable esophageal and gastric varices balloon occlusion gastrointestinal hemorrhage Medical physics. Medical radiology. Nuclear medicine Jeonghyun Jo verfasserin aut Jae Hyung Park verfasserin aut Gyoo-Sik Jung verfasserin aut Byeong-Ho Park verfasserin aut In 대한영상의학회지 The Korean Society of Radiology, 2019 75(2016), 2, Seite 92-103 (DE-627)176063896X 22882928 nnns volume:75 year:2016 number:2 pages:92-103 https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/article/c419c4daf9b342c1aa0f449f17587799 kostenfrei https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/toc/1738-2637 Journal toc kostenfrei https://doaj.org/toc/2288-2928 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2055 GBV_ILN_2111 AR 75 2016 2 92-103 |
allfields_unstemmed |
(DE-627)DOAJ007823231 (DE-599)DOAJc419c4daf9b342c1aa0f449f17587799 DE-627 ger DE-627 rakwb eng kor R895-920 Jihyun Lee verfasserin aut Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. gelatin sponges absorbable esophageal and gastric varices balloon occlusion gastrointestinal hemorrhage Medical physics. Medical radiology. Nuclear medicine Jeonghyun Jo verfasserin aut Jae Hyung Park verfasserin aut Gyoo-Sik Jung verfasserin aut Byeong-Ho Park verfasserin aut In 대한영상의학회지 The Korean Society of Radiology, 2019 75(2016), 2, Seite 92-103 (DE-627)176063896X 22882928 nnns volume:75 year:2016 number:2 pages:92-103 https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/article/c419c4daf9b342c1aa0f449f17587799 kostenfrei https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/toc/1738-2637 Journal toc kostenfrei https://doaj.org/toc/2288-2928 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2055 GBV_ILN_2111 AR 75 2016 2 92-103 |
allfieldsGer |
(DE-627)DOAJ007823231 (DE-599)DOAJc419c4daf9b342c1aa0f449f17587799 DE-627 ger DE-627 rakwb eng kor R895-920 Jihyun Lee verfasserin aut Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. gelatin sponges absorbable esophageal and gastric varices balloon occlusion gastrointestinal hemorrhage Medical physics. Medical radiology. Nuclear medicine Jeonghyun Jo verfasserin aut Jae Hyung Park verfasserin aut Gyoo-Sik Jung verfasserin aut Byeong-Ho Park verfasserin aut In 대한영상의학회지 The Korean Society of Radiology, 2019 75(2016), 2, Seite 92-103 (DE-627)176063896X 22882928 nnns volume:75 year:2016 number:2 pages:92-103 https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/article/c419c4daf9b342c1aa0f449f17587799 kostenfrei https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/toc/1738-2637 Journal toc kostenfrei https://doaj.org/toc/2288-2928 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2055 GBV_ILN_2111 AR 75 2016 2 92-103 |
allfieldsSound |
(DE-627)DOAJ007823231 (DE-599)DOAJc419c4daf9b342c1aa0f449f17587799 DE-627 ger DE-627 rakwb eng kor R895-920 Jihyun Lee verfasserin aut Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. gelatin sponges absorbable esophageal and gastric varices balloon occlusion gastrointestinal hemorrhage Medical physics. Medical radiology. Nuclear medicine Jeonghyun Jo verfasserin aut Jae Hyung Park verfasserin aut Gyoo-Sik Jung verfasserin aut Byeong-Ho Park verfasserin aut In 대한영상의학회지 The Korean Society of Radiology, 2019 75(2016), 2, Seite 92-103 (DE-627)176063896X 22882928 nnns volume:75 year:2016 number:2 pages:92-103 https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/article/c419c4daf9b342c1aa0f449f17587799 kostenfrei https://doi.org/10.3348/jksr.2016.75.2.92 kostenfrei https://doaj.org/toc/1738-2637 Journal toc kostenfrei https://doaj.org/toc/2288-2928 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2055 GBV_ILN_2111 AR 75 2016 2 92-103 |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ007823231</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230503082603.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230225s2016 xx |||||o 00| ||eng c</controlfield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ007823231</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJc419c4daf9b342c1aa0f449f17587799</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield><subfield code="a">kor</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">R895-920</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Jihyun Lee</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2016</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">gelatin sponges</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">absorbable</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">esophageal and gastric varices</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">balloon occlusion</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">gastrointestinal hemorrhage</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medical physics. Medical radiology. 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R895-920 Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant gelatin sponges absorbable esophageal and gastric varices balloon occlusion gastrointestinal hemorrhage |
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Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant |
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Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant |
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Jihyun Lee Jeonghyun Jo Jae Hyung Park Gyoo-Sik Jung Byeong-Ho Park |
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vascular plug-assisted retrograde transvenous obliteration for the management of gastric varices: comparative effectiveness between gelatin sponge embolization and permanent sclerosant |
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Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant |
abstract |
Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. |
abstractGer |
Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. |
abstract_unstemmed |
Purpose To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. Materials and Methods From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. Results The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p < 0.05). Conclusion PARTO appears to be equivalent to BRTO for short-term management of gastric varices. |
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Vascular Plug-Assisted Retrograde Transvenous Obliteration for the Management of Gastric Varices: Comparative Effectiveness between Gelatin Sponge Embolization and Permanent Sclerosant |
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https://doi.org/10.3348/jksr.2016.75.2.92 https://doaj.org/article/c419c4daf9b342c1aa0f449f17587799 https://doaj.org/toc/1738-2637 https://doaj.org/toc/2288-2928 |
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