Inclusion Criteria:  Age ≥18 years old, patients diagnosed with gastric varices larger than 2.0 cm in total diameter of the vascular pseudotumor type GOV2 or IGV 1. Active bleeder Secondary prophylaxis - h/o previous bleed High risk GV (GOV 2/IGV 1) - Baveno VI- Primary prophylaxis  Excusion criteria:  Previous HRS MOF Platelet <50,000/cumm INR>2 Esophageal stricture Iodine allergy (for EV)