Variceal Hemorrhage: Decompression, Obliteration, or Both?

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.

Keywords

portal hypertension - variceal hemorrhage - transjugular intrahepatic portosystemic shunt - balloon-occluded retrograde transvenous obliteration - cirrhosis

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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