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Fig. 2 | CVIR Endovascular

Fig. 2

From: Coil-assisted retrograde transvenous obliteration (CARTO) for the treatment of gastric varices via a single access route using steerable microcatheter: a case report

Fig. 2

a The steerable catheter was inverted from distal to the coil embolization site (white arrow). Detachable coils were deployed using a 1.9 Fr micro catheter through the inverted steerable catheter. b Complete coil occlusion of the outflow shunt was confirmed and the inferior phrenic vein was not visualized. c We gradually injected 5% ethanolamine oleate with iopamidol (total 24 ml) through the microcatheter (white arrow) to embolize up to the coil in outflow shunt, varices, other minor collaterals. d Contrast enhanced computed tomography performed 1 week after coil-assisted retrograde transvenous obliteration revealed that complete occlusion of the gastric varices (white arrow) was achieved (portal venous phase)

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