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Balloon-Occluded Retrograde Transvenous Obliteration (BRTO/BATO)

Balloon-occluded retrograde transvenous obliteration (BRTO/BATO) may be considered when gastric varices are present with spontaneous shunt veins (e.g., gastrorenal shunt) and the risk of bleeding is high, or when endoscopic treatment is not well controlled. The decision is influenced by venous anato

24-72h

Response window

Approx. $4,000

Treatment fee

Included support

  • +Hospital matching
  • +Record review
  • +Care coordination
  • +Travel support
  • +Interpretation support

Not included

  • -Treatment fee
  • -Travel costs
  • -Optional extras

Hospital consultation window

Peking Union Medical College Hospital - Beijing - Grade 3A

Ruijin Hospital - Shanghai - Grade 3A

West China Hospital - Chengdu - Grade 3A

Our service process

Let us coordinate the treatment journey with you.

1

How Balloon-Occluded Retrograde Transvenous Obliteration (BRTO/BATO) is performed

BRTO/BATO is often performed under image guidance and anesthesia monitoring. A common approach involves inserting a catheter and balloon through a vein, advancing retrogradely into the relevant shunt vein, temporarily blocking the shunt with the balloon, and then injecting a sclerosing agent or placing coils/embolic materials into the varices to occlude the lesion; if a retrograde approach is not feasible, an antegrade (BATO) approach may be selected. Postoperative monitoring of vital signs, abdominal pain, and gastrointestinal symptoms, and assessment of changes in portal venous system blood flow. The above is general health information and not medical advice; specific details are subject to specialist assessment and hospital protocols.

What is Balloon-Occluded Retrograde Transvenous Obliteration (BRTO/BATO)?

BRTO/BATO is often performed under image guidance and anesthesia monitoring. A common approach involves inserting a catheter and balloon through a vein, advancing retrogradely into the relevant shunt vein, temporarily blocking the shunt with the balloon, and then injecting a sclerosing agent or placing coils/embolic materials into the varices to occlude the lesion; if a retrograde approach is not feasible, an antegrade (BATO) approach may be selected. Postoperative monitoring of vital signs, abdominal pain, and gastrointestinal symptoms, and assessment of changes in portal venous system blood flow. The above is general health information and not medical advice; specific details are subject to specialist assessment and hospital protocols.

How is Balloon-Occluded Retrograde Transvenous Obliteration (BRTO/BATO) performed?

Step 1

How Balloon-Occluded Retrograde Transvenous Obliteration (BRTO/BATO) is performed

BRTO/BATO is often performed under image guidance and anesthesia monitoring. A common approach involves inserting a catheter and balloon through a vein, advancing retrogradely into the relevant shunt vein, temporarily blocking the shunt with the balloon, and then injecting a sclerosing agent or placing coils/embolic materials into the varices to occlude the lesion; if a retrograde approach is not feasible, an antegrade (BATO) approach may be selected. Postoperative monitoring of vital signs, abdominal pain, and gastrointestinal symptoms, and assessment of changes in portal venous system blood flow. The above is general health information and not medical advice; specific details are subject to specialist assessment and hospital protocols.

How Balloon-Occluded Retrograde Transvenous Obliteration (BRTO/BATO) is performed

Recovery process

Step 1

Recovery and stay

It is recommended to stay in China for a total of approximately 1.5–3 weeks (evaluation + hospitalization + follow-up), subject to the hospital's specific arrangements.

Recovery and stay

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Tell us about your Portal Hypertension case and we will help match you with the right hospital, specialist, and travel pathway.

Frequently asked questions

How do I get started?
Submit a free evaluation request with your diagnosis and records. The team reviews your case and suggests suitable next steps.
Do I need a visa to travel to China for treatment?
Many patients do. We can help explain what documents are normally needed for treatment travel planning.
Will there be a language barrier?
Medical interpretation can be arranged for consultations and treatment visits.
How much does treatment cost?
Costs depend on the procedure, hospital, and treatment pathway. A practical estimate is provided before travel.
What happens after I return home?
We can help coordinate remote follow-up and keep communication open with your care team.