ArticleACG case reports journal2026
Ischemic Stroke After Plug-Assisted Retrograde Transvenous Obliteration for Gastric Varices.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Plug-Assisted Retrograde Transvenous Obliteration (PARTO) is increasingly used for bleeding gastric varices, particularly in patients at high risk of hepatic encephalopathy where Transjugular Intrahepatic Portosystemic Shunt may be unsuitable. Current American Gastroenterological Association guidelines state that PARTO and Balloon-Occluded Retrograde Transvenous Obliteration are more effective than Transjugular Intrahepatic Portosystemic Shunt in preventing rebleeding and have lower hepatic encephalopathy rates. We report a case of multifocal ischemic stroke after technically successful PARTO. The temporal relationship and a patent foramen ovale suggest paradoxical embolism. This first reported case highlights a previously unrecognized but critical risk of PARTO warranting consideration during patient selection and counseling.
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