Percutaneous trans-hepatic Cyanoacrylate embolization for gastric varices
10.3760/cma.j.issn.1007-5232.2009.11.008
- VernacularTitle:经皮经肝TH胶栓塞治疗胃静脉曲张的疗效分析
- Author:
Lei WU
;
Lanhua LI
;
Chunqing ZHANG
;
Fuli LIU
;
Qiang ZHU
;
Hongwei XU
;
Kai FENG
;
Jiyong LIU
- Publication Type:Journal Article
- Keywords:
Gastric varices;
Embolization;
theapeutic;
TH glue
- From:
Chinese Journal of Digestive Endoscopy
2009;26(11):580-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of percutaneouse trans-hepatic Cyanoacrylate (TH glue) embolization for gastric varices. Methods TH glue was injected into the gastric varices and its feeder veins in 30 patients. The endoscopy was performed at 1 week and every 3 months after the procedure, while the CT and portal vein angiography were performed at 3 months and every 6 months after the procedure to e-valuate the oblitazation results. Results The effective rate of treatment was 100%. A total of 21 patients were followed up in a mean period of 27.9 months (11-33 months) with a recurrence rate of varices at 14. 29% (3/21). Portal hypertensive gastropathy was observed in 17 patients (80. 95%), and to-bleeding occurred in 2 patients (9. 52%) due to portal hypertensive gastropathy. CT and portal vein angiography dis-played TH glue in fundic peripheral veins, perforating veins in the gastric wall and other feeding veins with-out re-ciroulation or new branches after embolization. Conclusion Peroutaneous trans-hepatic TH glue is a-ble to embolize the gastric varices and its feeding veins, which is feasible and effective in treatment of gastric varices.
