Ask Dr. Z

Would this be considered just an embolization? Never seen CARTO before.

"A 5 French angled catheter/glidewire combo was subsequently used to select the left renal vein and the gastrorenal shunt. Over a J-tip wire, vascular sheath with gently advanced into the gastrorenal shunt. Exchange was subsequently made for two 4 French Navicross catheters, with one positioned deep within the gastrorenal shunt and the second positioned within the proximal gastrorenal shunt near the left renal vein. A venogram was performed demonstrating a large patent gastrorenal shunt. Following that, the gastrorenal shunt was subsequently coiled with six 0.35 detachable coils (Azur, three 13 x 240 mm coils, three 16 x 320 mm coils). Approximately 13 mL of Gelfoam slurry was gently administered into the second Navicross catheter until there was opacification of the gastric varices up to the level of the GE junction. IMPRESSION: CARTO of gastric varices."