However, with the development of endoscopic techniques and the introduction of less invasive alternative procedures such as balloon-occluded retrograde transvenous obliterans (BRTO) and plug-assisted retrograde transvenous obliterans (PARTO), the number of cases of TIPS has decreased ( 4 - 7 ). (brieflands.com)
Current techniques for treatment of the sequelae of PH include placement of peritoneovenous shunts and tunneled peritoneal drains, creation of transjugular intrahepatic portosystemic shunts, and obliteration of shunts via balloon-occluded retrograde transvenous obliteration (BRTO). (medscape.com)
BRTO1
Given all this, the standard treatment of GV has been focused on the localized cessation of the blood flow in the collateral or shunt (using balloon occlusion with retrograde transvenous obliteration [BRTO] or plug-assisted retrograde transvenous obliteration) ( Supplementary Fig. 1 ). (e-ce.org)