Saad Wael E, Simon Peter O, Rose Steven C
Department of Radiology and Medical Imaging, University of Virginia Health System, 1215 Lee Street, PO Box 800170, Charlottesville, VA, 22908, USA,
Cardiovasc Intervent Radiol. 2014 Apr;37(2):299-315. doi: 10.1007/s00270-013-0715-y. Epub 2013 Oct 4.
Balloon-occluded retrograde transvenous obliteration (BRTO) of gastric varices is an image-guided transcatheter procedure used to treat gastric varices with sclerosants rather than decompression of the portal venous system. The history of its development, relevant portal venous, and systemic venous anatomic considerations, techniques, indications, and early results will be reviewed. In addition, the status of the practice of BRTO in the United States will be discussed.
胃静脉曲张的球囊闭塞逆行静脉栓塞术(BRTO)是一种在影像引导下的经导管操作,用于用硬化剂治疗胃静脉曲张,而非对门静脉系统进行减压。本文将回顾其发展历程、相关门静脉及全身静脉的解剖学考量、技术、适应证及早期结果。此外,还将讨论BRTO在美国的应用现状。