Anticoagulation in the treatment of portovenous emboli after cyanoacrylate injection for a bleeding gastric varix

被引：0
作者：
Kwa, Charlene Xian Wen [1 ]
Tan, Veronique Kiak Mien [2 ]
Ong, Hock Soo [1 ]
机构：
[1] Singapore Gen Hosp, Dept Anesthesiol, Singapore 169608, Singapore
[2] Singapore Gen Hosp, Dept Gen Surg, Singapore 169608, Singapore
来源：
SINGAPORE MEDICAL JOURNAL | 2015年 / 56卷 / 01期
关键词：
bleeding gastric varices; complications of sclerotherapy; cyanoacrylate emboli; treatment of portovenous emboli; PORTAL-VEIN THROMBOSIS; HISTOACRYL INJECTION; HYPERTENSION; THERAPY; SCLEROTHERAPY; COMPLICATIONS;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We herein report the use of endoscopic n-butyl-2-cyanoacrylate injections to obliterate a gastric varix, which led to cyanoacrylate embolisation in the splenic and portal veins in a single patient. Cyanoacrylate embolisation is a known but uncommonly reported complication of endoscopic sclerotherapy. This case report illustrates the successful management of this complication (i.e. cyanoacrylate embolisation in the splenic and portal veins) with anticoagulation and analyses the presentation and management of other cases of cyanoacrylate embolisation reported in the literature.
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页码：E14 / E16
页数：3
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共 15 条
  • [1] Low Incidence of Complications From Endoscopic Gastric Variceal Obturation With Butyl Cyanoacrylate
    Cheng, Liu-Fang
    Wang, Zhi-Qiang
    Li, Chang-Zheng
    Lin, Wu
    Yeo, Anthony E. T.
    Jin, Bo
    [J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2010, 8 (09) : 760 - 766
  • [2] Recent portal or mesenteric venous thrombosis: Increased recognition and frequent recanalization on anticoagulant therapy
    Condat, B
    Pessione, F
    Denninger, MH
    Hillaire, S
    Valla, D
    [J]. HEPATOLOGY, 2000, 32 (03) : 466 - 470
  • [3] Vascular Disorders of the Liver
    DeLeve, Laurie D.
    Valla, Dominique-Charles
    Garcia-Tsao, Guadalupe
    [J]. HEPATOLOGY, 2009, 49 (05) : 1729 - 1764
  • [4] Portal vein embolization as a complication of Histoacryl injection for a bleeding giant gastric ulcer
    Fan, C. -S.
    Soon, M. -S.
    [J]. ENDOSCOPY, 2007, 39 : E110 - E110
  • [5] N-2-butyl-cyanoacrylate for bleeding gastric varices: A United States pilot study and cost analysis
    Greenwald, BD
    Caldwell, SH
    Hespenheide, EE
    Patrie, JT
    Williams, J
    Binmoeller, KF
    Woodall, L
    Haluszka, O
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2003, 98 (09) : 1982 - 1988
  • [6] Transcatheter thrombolytic therapy for acute mesenteric and portal vein thrombosis
    Hollingshead, M
    Burke, CT
    Mauro, MA
    Weeks, SM
    Dixon, RG
    Jaques, PF
    [J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2005, 16 (05) : 651 - 661
  • [7] PORTAL-VEIN THROMBOSIS COMPLICATING ENDOSCOPIC VARICEAL SCLEROTHERAPY - CONVINCING FURTHER EVIDENCE
    KORULA, J
    YELLIN, A
    KANEL, GC
    NICHOLS, P
    [J]. DIGESTIVE DISEASES AND SCIENCES, 1991, 36 (08) : 1164 - 1167
  • [8] Detection of thrombosis in the portal venous system: Comparison of contrast-enhanced MR angiography with intraarterial digital subtraction angiography
    Kreft, B
    Strunk, H
    Flacke, S
    Wolff, M
    Conrad, R
    Gieseke, J
    Pauleit, D
    Bachmann, R
    Hirner, A
    Schild, HH
    [J]. RADIOLOGY, 2000, 216 (01) : 86 - 92
  • [9] Hepatic failure requiring transplantation caused by portal vein embolism as a complication of N-buty-2-cyanoacrylate injection for a bleeding gastric varix
    Lee, Kee Myung
    Kim, Young Bae
    Sin, Sung Jae
    Hwang, Jae Chul
    Yoo, Byung Moo
    Jung, Jae Yeon
    Kim, Jin Hong
    Cho, Sung Won
    [J]. GASTROINTESTINAL ENDOSCOPY, 2009, 69 (04) : 967 - 969
  • [10] Clinical evaluation of endoscopic injection sclerotherapy using n-butyl-2-cyanoacrylate for gastric variceal bleeding
    Ogawa, K
    Ishikawa, S
    Naritaka, Y
    Shimakawa, T
    Wagatsuma, Y
    Katsube, A
    Kajiwara, T
    [J]. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 1999, 14 (03) : 245 - 250
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