{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T09:35:34Z","timestamp":1788773734615,"version":"build-2803163510"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004721","name":"The University of Tokyo","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004721","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cardiovasc Intervent Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>This retrospective study investigated the efficacy of <jats:italic>n<\/jats:italic>-butyl-2-cyanoacrylate (nBCA)-assisted balloon-occluded retrograde transvenous obliteration (NARTO) of gastric varices and splenorenal shunts.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and Methods<\/jats:title>\n            <jats:p>Between November 2021 and February 2024, 16 patients (3 females, 13 males) underwent NARTO, consisting of balloon-occluded retrograde transvenous obliteration (BRTO) followed by nBCA embolization of the efferent draining vein without the balloon catheter remaining indwelling afterward, to treat gastric varices in 12 patients with liver cirrhosis or to improve portal vein flow or hepatic encephalopathy in four patients with splenorenal shunts after liver transplantation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>NARTO was technically successful in all 16 patients without major procedure-related complications. There was no migration of nBCA nor adhesion of nBCA to the balloon catheter. Follow-up contrast-enhanced CT showed no recurrence of gastric varices. For splenorenal shunts after liver transplantation, portal steal syndrome and hepatic encephalopathy improved after NARTO.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>NARTO is a simple and efficient technique to occlude gastric varices and portosystemic shunts, avoiding the need for the indwelling of a balloon catheter after injecting the sclerosant.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Graphical Abstract<\/jats:title>\n          <\/jats:sec>","DOI":"10.1007\/s00270-025-04137-0","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T22:43:44Z","timestamp":1754347424000},"page":"1505-1511","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["N-Butyl-2-Cyanoacrylate-Assisted Balloon-Occluded Retrograde Transvenous Obliteration (NARTO) of Gastric Varices and Splenorenal Shunts"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9094-515X","authenticated-orcid":false,"given":"Eisuke","family":"Shibata","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidemasa","family":"Takao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Abe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"issue":"6","key":"4137_CR1","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1002\/hep.1840160607","volume":"16","author":"SK Sarin","year":"1992","unstructured":"Sarin SK, Lahoti D, Saxena SP, Murthy NS, Makwana UK. 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Our institutional review board (The University of Tokyo, No: 2561\u201316) approved this retrospective study, and the need for informed consent was waived.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"For this type of study, consent for publication is not required.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"The institutional review board waived the requirement for informed patient consent for this retrospective study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}