Percutaneous transsplenic varices embolization for upper gastrointestinal bleeding
10.3760/cma.j.issn.1005-1201.2010.11.019
- VernacularTitle:经脾穿刺插管栓塞治疗门静脉高压上消化道出血
- Author:
Qiang ZHANG
;
Jingyu LI
;
Junliang LU
;
Liyang XU
;
Tao LIU
- Publication Type:Journal Article
- Keywords:
Hypertension,portal;
Gastrointestinal hemorrhage;
Radiology,interventional;
Punctures;
Embolization,therapeutic
- From:
Chinese Journal of Radiology
2010;44(11):1194-1196
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of percutaneous transsplenic varices embolization (PTSVE) for treatment of upper gastrointestinal bleeding. Methods Twenty cases with liver cirrhosis and portal hypertension suffered upper gastrointestinal bleeding. PTSVE was administered to them with hardener and coils. Among them, 8 cases had massive hepatocellular carcinoma (HCC) in right lobe; 10 cases with hepatocellular carcinoma had portal vein tumor thrombus and occlusion; the other two cases with liver cirrhosis had portal vein thrombosis. All of these cases were not suitable for percutaneous transhepatic varices embolization (PTHVE) . PTSVE was performed under the guidance of fluoroscopy. Results Technical success was achieved in 18 patients. A total of 35 gastric coronary veins were embolized. In all these cases, upper gastrointestinal bleeding stopped after PTSVE. There was no recurrence within 1 month follow-up. No serious complication occurred. Conclusion PTSVE is a safe and efficient alternative treatment for upper gastrointestinal bleeding, especially for cases with portal vein occlusion or with massive HCC in right lobe of liver.
