Balloon-occluded retrograde transvenous obliteration of gastric varix draining via the left inferior phrenic vein into the left hepatic vein

Cardiovasc Intervent Radiol. Sep-Oct 1999;22(5):415-7. doi: 10.1007/s002709900417.


We encountered a patient with gastric varix draining not via the usual left suprarenal vein but via the left inferior phrenic vein joining the left hepatic vein. Transfemoral balloon-occluded retrograde transvenous obliteration (BRTO) of the varix was performed under balloon occlusion of the left inferior phrenic vein via the left hepatic vein and retrograde injection of the sclerosing agent (5% of ethanolamine oleate) into the gastric varix. Disappearance of the gastric varix was confirmed on endoscopic examination 2 months later.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Catheterization / methods*
  • Esophageal and Gastric Varices / diagnostic imaging
  • Esophageal and Gastric Varices / physiopathology*
  • Esophageal and Gastric Varices / therapy*
  • Hepatic Veins / physiology
  • Humans
  • Male
  • Phlebography
  • Sclerotherapy
  • Tomography, X-Ray Computed