Accelerated Balloon-Occluded Retrograde Transvenous Obliteration Without Indwelling Balloon Occlusion for Gastric Varices With Small Gastrorenal Shunts Using a Terminal Gelfoam Plug

被引:6
作者
Darwish, Wael M. [1 ]
Darushnia, Sean [1 ]
Saad, Wael E. [2 ]
机构
[1] Emory Univ Hosp, Dept Radiol, Div Intervent Radiol & Image Guided Med, Atlanta, GA 30322 USA
[2] Univ Virginia Hlth Syst, Dept Radiol & Med Imaging, Div Vasc Intervent Radiol, Charlottesville, VA 22908 USA
关键词
balloon; balloon-occluded retrograde transvenous obliteration; bleeding; gastric varices; TRANSCATHETER OBLITERATION;
D O I
10.2214/AJR.12.8543
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. We performed balloon-occluded retrograde transvenous obliteration in three consecutive patients with small gastric varices without indwelling balloon catheter occlusion. Foam of 3% sodium tetradecyl sulfate mixed with iodized oil and room air was injected retrograde through the gastrorenal shunt, followed by a thick absorbable gelatin sponge (Gelfoam, Pfizer) plug under only 10-minute balloon occlusion. CONCLUSION. Because complete obliteration of gastric varices was achieved in all patients without any complications, our technique is considered to be safe and effective for small gastric varices.
引用
收藏
页码:439 / 441
页数:3
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