Efficacy of percutaneous transhepatic variceal embolization with TH glue for large gastric fundal variceal bleeding

VernacularTitle:经皮经肝医用胶栓塞治疗肝硬化瘤样胃底静脉曲张临床观察
Author: Jinhua HU ; Xiangguo TIAN ; Guangchuan WANG ; Yongjun SHI ; Junyong ZHANG ; Fuli LIU ; Yi CUI ; Chunqing ZHANG
Publication Type:Journal Article
Keywords: Esophageal and gastric varices; Hemorrhage; Therapeutic embolization
From: Chinese Journal of Digestive Endoscopy 2012;29(10):545-548
CountryChina
Language:Chinese
Abstract: Objective To investigate the efficacy of percutaneous transhepatic variceal embolization (PTVE) with Cyanoacrylate (TH glue) in treating large gastric fundal variceal bleeding.Methods PTVE was performed on 24 patients with TH glue injected into the main stem of left gastric vein and its fundic branches.The degree of varices in gastric fundus,rebleeding rate and survival rate after the procedure were compared with those before.Results Varices in gastric fundus were all embolized successfully with TH glue.The diameter of varices was reduced to below 5mm or disappeared in 20 patients (83.3％),and reduced to 5-10mm in the other 4 ( 16.7％ ) During the follow-up period of 3-36 months(mean 16.6 months),the rebleeding rate and mortality were 12.5 ％ ( 3/24 ),and 12.5 ％ (3/24),respectively.One patient died of liver cancer,and two others died of chronic liver failure.Conclusion PTVE with TH glue is of ideal therapeutic effect to block the feeding veins of large gastric fundal varices.