EMERGENCY TRANS-HEPATIC OBLITERATION OF BLEEDING VARICES

被引：12

作者：

PASSARIELLO, R

ROSSI, P

SIMONETTI, G

CIOLINA, A

ROVIGHI, L

机构：

[1] Istituto di Radiologia dell'Università di Roma, Roma, I-00161, 2a Cattedra, Policlinico 'Umberto I'

来源：

CARDIOVASCULAR RADIOLOGY | 1979年 / 2卷 / 02期

关键词：

Bleeding esophageal varices; Embolization; Transhepatic catheterization;

D O I：

10.1007/BF02575369

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transhepatic obliteration of gastroesophageal varices was performed in 18 actively bleeding patients. The success of the procedure was related to the complete obliteration of the varices, as demonstrated by their disappearance at angiography. In 13 of the 14 patients in whom obliteration was complete, bleeding did not recur. Three of the 13 died of hepatic insufficiency within 18 days of embolization, and three refused surgery and were lost to follow-up. The remaining seven patients had portacaval or mesocaval shunts, and are doing well at a follow-up of 12 months. Transhepatic obliteration has, therefore, proved to be an effective emergency procedure in patients who will be acceptable surgical candidates at a later date. © 1979 Springer-Verlag New York Inc.

引用

页码：97 / 106

页数：10

共 14 条

[1]

Bauer J.J., Kreel I., Kark A.E., The use of Sengstaken-Blakemore tube for control of bleeding esophageal varices, Am. Surg., 179, pp. 273-277, (1974)

[2]

Berardi R.S., Vascular complications of superior mesenteric artery infusion with Pitressin in treatment of bleeding esophageal varices, Am. J. Surg., 127, pp. 757-761, (1974)

[3]

Conn O., Simpson J.A., Excessive mortality associated with balloon tamponade of bleeding varices, JAMA, 202, pp. 587-591, (1967)

[4]

Kunstlinger F., Harry G., Doyon D., Roche A., Dahan S., L'obliteration des varices gastro-oesophagiennes par voie veineuse: à propos de 22 cas, J. Belge Radiol., 61, pp. 99-107, (1978)

[5]

Lunderquist A., Vang J., Transhepatic catheterization and obliteration of the coronary vein in patients with portal hypertension and esophageal varices, N. Engl. J. Med., 291, pp. 646-649, (1974)

[6]

Lunderquist A., Simert G., Tylen U., Vang J., Follow-up of patients with portal hypertension and esophageal varices treated with percutaneous obliteration of gastric coronary vein, Radiology, 122, pp. 59-63, (1977)

[7]

Lunderquist A., Borjesson B., Owman T., Bengmark S., Isobutyl-2-Cyanoacrylate (Bucrylate) in obliteration of gastric coronary vein and esophageal varices, Am. J. Roentgenol., 130, pp. 1-6, (1978)

[8]

Orloff M.J., Chandler J.G., Charters A.C., Condon J.K., Grambort D.E., Modaferri T.R., Levin S.E., Emergency portacaval shunt treatment for bleeding esophageal varices, Arch. Surg., 108, pp. 293-299, (1974)

[9]

Pereiras R., Viamonte M., Russel E., Le Page J., White P., Hutson D., New technique for interruption of gastroesophageal venous blood flow, Radiology, 124, pp. 313-323, (1977)

[10]

Raschke E., Paquet K.T., Management of hemorrhage from esophageal varices using the esophagoscopic method, Ann. Surg., 177, pp. 99-102, (1973)

← 1 2 →