Retrograde venography during balloon-occluded retrograde transvenous obliteration of gastric varices

被引：0

作者：

Yoshimatsu, Rika ^{[1
,2
]}

Yamagami, Takuji ^{[1
,2
]}

Ishikawa, Masaki ^{[1
]}

Kajiwara, Kenji ^{[1
]}

Fukumoto, Wataru ^{[1
]}

Aikata, Hiroshi ^{[3
]}

Chayama, Kazuaki ^{[3
]}

Baba, Yasutaka ^{[1
]}

Awai, Kazuo ^{[1
]}

机构：

[1] Hiroshima Univ, Inst & Grad Sch Biomed Sci, Dept Diagnost Radiol, Minami Ku, 1-2-3 Kasumi, Hiroshima 7348551, Japan

[2] Kochi Univ, Sch Med, Dept Radiol, Kochi, Japan

[3] Hiroshima Univ, Inst Biomed & Hlth Sci, Dept Gastroenterol & Metab, Hiroshima, Japan

来源：

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES | 2017年 / 26卷 / 01期

关键词：

Balloon-occluded retrograde transvenous obliteration; gastric varices; ETHANOLAMINE OLEATE; GASTRORENAL SHUNTS; PLUG; COMPLICATIONS; EXPERIENCE; THROMBUS; VEINS;

D O I：

10.1080/13645706.2016.1218346

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose: The purpose of this study was to evaluate changes in thrombosis in gastric varices. Material and methods: Fourteen patients were studied who underwent balloon-occluded retrograde transvenous obliteration (B-RTO) for gastric varices with a gastrorenal shunt. The B-RTO catheter was retained overnight in all patients. Balloon-occluded retrograde venography (B-RTV) was performed to evaluate the degree of thrombus formation. This evaluation was done twice during the overnight B-RTO procedure: A few hours after the procedure and on the following day. Investigated were the degree of thrombus formation observed by the first and second B-RTV, change in the degree of thrombus between the first and second B-RTV, and whether and how much sclerosing agent was administered on the second day. Results: The first B-RTV showed entire or partial enhancement of the gastric varix in seven (50%) cases and complete or almost complete lack of enhancement in the remaining seven cases. In four of the former seven cases, the second B-RTV showed entire or partial enhancement of the gastric varix, and the sclerosing agent was added. However, in the remaining ten cases, enhancement was almost or completely lacking. Conclusion: When complete thrombosis is shown on B-RTV obtained a few hours after B-RTO, the addition of a sclerotic agent would be unnecessary.

引用

页码：1 / 6

页数：6

共 21 条

[1] Long-term results of balloon-occluded retrograde transvenous obliteration for gastric variceal bleeding and risky gastric varices: A 10-year experience [J].