Park Jonathan K, Cho Sung-Ki, Kee Stephen, Lee Edward W
Division of Interventional Radiology, Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Suite 2125, Los Angeles, CA 90095-743730, USA.
Division of Interventional Radiology, Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Suite 2125, Los Angeles, CA 90095-743730, USA ; Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Republic of Korea.
Case Rep Radiol. 2014;2014:391420. doi: 10.1155/2014/391420. Epub 2014 Mar 5.
While balloon-assisted retrograde transvenous obliteration (BRTO) has been used for two decades in Asia for the management of gastric variceal bleeding, it is still an emerging therapy elsewhere. Given the shunt closure brought about by the procedure, BRTO has also been used for the management of portosystemic encephalopathy with promising results. Modified versions of BRTO have been developed, including plug-assisted retrograde transvenous obliteration (PARTO), where a vascular plug is deployed within a portosystemic shunt. To our knowledge, we present the first North American case of PARTO in the setting of a large splenorenal shunt for the management of portosystemic encephalopathy.
尽管在亚洲，球囊辅助逆行经静脉闭塞术（BRTO）已用于治疗胃静脉曲张出血长达二十年，但在其他地区它仍是一种新兴疗法。鉴于该手术能实现分流闭合，BRTO也已用于治疗门体性脑病，且效果良好。BRTO的改良版本已被开发出来，包括封堵器辅助逆行经静脉闭塞术（PARTO），即在门体分流处植入血管封堵器。据我们所知，我们报道了北美首例在大型脾肾分流情况下采用PARTO治疗门体性脑病的病例。
