{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T22:05:04Z","timestamp":1769205904106,"version":"3.49.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"49","license":[{"start":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T00:00:00Z","timestamp":1639094400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Rationale:<\/jats:title>\n            <jats:p>Most gastric varices at the fundus drain into the left renal vein via the gastrorenal shunt (80\u201385% of cases) or the inferior vena cava via the gastrocaval shunt (10\u201315%). Therefore, plug-assisted retrograde transvenous obliteration (PARTO) is usually performed via a gastrorenal shunt. Here, we report a case of gastric varix treated with PARTO via a gastrocaval shunt.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patient concerns:<\/jats:title>\n            <jats:p>A 46-year-old woman with hepatitis B virus and liver cirrhosis visited the emergency room in our hospital with the main symptom of hematemesis and hematochezia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diagnoses:<\/jats:title>\n            <jats:p>Endoscopy and computed tomography (CT) revealed a gastric varix and thrombotic-occluded transjugular intrahepatic portosystemic shunt (TIPS) stent.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Interventions:<\/jats:title>\n            <jats:p>The patient underwent PARTO via a gastrocaval shunt to manage gastric variceal bleeding after failed TIPS revision.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Outcomes:<\/jats:title>\n            <jats:p>On CT, the gastric varix completely disappeared. The patient did not experience any additional bleeding events.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Lessons:<\/jats:title>\n            <jats:p>PARTO via a gastrocaval shunt is safe and effective.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/md.0000000000028107","type":"journal-article","created":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T13:11:35Z","timestamp":1639141895000},"page":"e28107","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Plug-assisted retrograde transvenous obliteration via gastrocaval shunt for the gastric variceal bleeding"],"prefix":"10.1097","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7936-9924","authenticated-orcid":false,"given":"Joo Yeon","family":"Jang","sequence":"first","affiliation":[{"name":"Department of Radiology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7731-162X","authenticated-orcid":false,"given":"Ung Bae","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6703-2419","authenticated-orcid":false,"given":"Jin Hyeok","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1017-6926","authenticated-orcid":false,"given":"Tae Un","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3143-3733","authenticated-orcid":false,"given":"Hwaseong","family":"Ryu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0498-6300","authenticated-orcid":false,"given":"Mong","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5427-7505","authenticated-orcid":false,"given":"Young Mi","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8580-0239","authenticated-orcid":false,"given":"Ki Tae","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University, Busan, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,12,10]]},"reference":[{"key":"R1-20250504","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/S1089-3261(05)70186-0","article-title":"Natural history of portal hypertension in patients with cirrhosis","volume":"5","author":"De Franchis","year":"2001","journal-title":"Clin Liver 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