Fundal GV in a 52-year-old man with massive hematemesis. Coil-assisted RTO (CARTO) was performed after failed guiding sheath advance for vascular plug deployment. Technically successful CARTO demonstrating complete stasis and opacification of GR shunt and GV. GV, gastric fundal varix; RTO, retrograde transvenous obliteration; GR, gastrorenal.