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Simultaneous Left Gastric Vein (LGV) Embolization And Portal Vein (PV) Recanalization By Endovascular RFA And Stenting

01.  Portography after left PV peripheral patentbranch puncture 02.  Introducer sheath is advance and portography “above the thrombus” is performed 03.  Portography “below the thrombus” – tumor thrombus is documented 04.  Guidewire and 5Fr diameter advantage catheter is introduced in left gastric vein (LGV) 05.  Contrast injection in LGV depicts esophageal varicosis 06.  LGV embolization by coil implantation 07.  Post-embolization contrast injection in LGV documents no more esophageal varicosis 08.  Portography for ablation aiming 09.  8Fr diameter bipolar RF device is positioned for thrombus processing 10.  14 mm diameter vascular stent in introduced 11.  14 mm diameter vascular stent is  introduced, portography is performed via the introducer sheath 12.  Stent is implanted 13.  Post-procedure portography […]