Figure 1.

Balloon-occluded retrograde transvenous obliteration procedural steps. (A) Catheterization of the gastrorenal shunt (arrow). (B) Advancement of an occlusion balloon (arrow) into the shunt and performing retrograde venogram. (C) Retrograde venogram shows opacification of the gastric varices (arrow) as well as the afferent posterior gastric vein (arrow heads). (D) Administration of the sclerosant mixture with the endpoint being filling of the afferent posterior gastric vein (arrowheads).