Effectiveness of Retrograde Transvenous Obliteration for Primary Prophylaxis of Gastric Variceal Bleeding.

ABSTRACT:

Background

Retrograde transvenous obliteration is an endovascular interventional radiology procedure demonstrating safety and efficacy for secondary prophylaxis in high-risk gastric varices. However, its efficacy as primary prophylaxis is uncertain. We conducted a systematic review and case series to evaluate the utility of this technique.

Methods

A literature search utilized EMBASE, MEDLINE, and the Cochrane Central Register of Controlled Trials. Inclusion criteria involved single technique obliteration, known varices, and exclusively primary prophylaxis. The primary outcome was gastric variceal bleeding, with secondary outcomes of technical success, variceal eradication, adverse events, and mortality. A retrospective case series of nine patients who underwent primary proph

SUBMITTER: Howarth N 

PROVIDER: S-EPMC12269327 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature