Digestive Disease Interventions 2022; 06(02): 094-103
DOI: 10.1055/s-0041-1742100
Review Article

Variceal Hemorrhage: Decompression, Obliteration, or Both?

1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
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1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
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1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
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1   Division of Vascular and Interventional Radiology, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
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Abstract

Variceal hemorrhage is a morbid condition that frequently mandates the involvement of interventional radiology to achieve successful and sustained hemostasis. Primary image-guided therapies for variceal hemorrhage include a transjugular intrahepatic portosystemic shunt and transvenous obliteration. Knowledge of variceal pathophysiology and anatomy, current techniques, and the evidence supporting therapeutic selection is paramount to successful patient outcomes. The purpose of this review is to provide the reader a framework of the available literature on image-guided management of bleeding varices to assist in clinical management.

Disclosures

A.J.G. is a speaker for Boston Scientific and Terumo, is a consultant for Varian and Boston Scientific, and receives research support from Penumbra.




Publikationsverlauf

Eingereicht: 05. Juli 2021

Angenommen: 24. November 2021

Artikel online veröffentlicht:
04. Januar 2022

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