2013-6-1 · BRTO is the conventional balloon-occluded transvenous obliteration procedure and BATO is considered an alternative or adjunctive approach. This is because, from a technical standpoint, the least invasive choice of access or approach for balloon-occluded transvenous obliteration of gastric varices is the traditional or conventional transrenal route.
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Balloon-occluded retrograde transvenous obliteration (BRTO) is a technique used by interventional radiologists in the treatment of gastric varices, particularly those with prominent infra-diaphragmatic portosystemic venous shunts (e.g. gastro-renal and gastro-caval shunts). The technique is more popular in Asia, where it is a first-line treatment for gastric variceal hemorrhage 1.
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2020-6-26 · BATO utilizes the portal venous system as an alternative approach to access gastric varices in the absence of a gastrorenal shunt.8 This antegrade approach can either be performed through a percutaneous transhepatic puncture (percutaneous transhepatic obliteration, PTO) or through an existing TIPS (trans-TIPS).
The objective of BRTO or BATO or both is complete obliteration of the gastric varices with preservation of the anatomical hepatopetal flow of the splenoportal circulation. This article reviews the indications, contraindications, and technical considerations of the conventional BRTO procedure.
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Transvenous Obliteration of Gastric Varices (BRTO, CARTO ...
2013-6-1 · The BRTO procedure for managing GVs is performed by placing a balloon in the GRS (usually distally) and refluxing sclerosant into the GRS, the GVs, and possibly the afferent portal venous feeders (detailed anatomy is described later). What is trapped and obliterated by the BRTO procedure is in essence, the GVS or complex.
2020-6-26 · Transvenous Obliteration of Gastric Varices (BRTO, CARTO, PARTO, BATO) Reviewers: Editors: Contributors: Introduction Gastroesophageal varices are a common sequelae of portal hypertension with esophageal varices being more common …
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2018-2-7 · BATO Procedure. Previous methods of transvenous obliteration of gastric varices and portosystemic collateral vessels have been described through a systemic venous approach (e.g., BRTO through a gastrorenal shunt or splenorenal shunt). However, a portal venous approach can also be performed in certain situations.
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The procedure involves blocking the dilated vessels, reducing the risk of rupture. It can be used in addition to or as an alternative to TIPS, which is the primary treatment for gastric varices. TIPS aims to relieve the pressure on the dilated vessels by creating new connections between blood vessels in the liver using a shunt.
2013-6-1 · The BRTO procedure for managing GVs is performed by placing a balloon in the GRS (usually distally) and refluxing sclerosant into the GRS, the GVs, and possibly the afferent portal venous feeders (detailed anatomy is described later). What is trapped and obliterated by the BRTO procedure is in essence, the GVS or complex.