Is double embolization: percutaneous transhepatic portal vein catheterization and coronary vein thrombosis through selective control of variceal bleeding. And through the arterial partial splenic artery embolization. The methods are: first use of the right femoral artery puncture seldinger technology, inserted into the 4F Cobra catheter selection of superior mesenteric artery portal vein DSA, to observe the site of varicose veins, scope, and extent of expansion of blood flow from the liver size. And superselective splenic artery with gelatin sponge particles were part of splenic artery embolization, about 40% to 60% bolt. The right middle axillary line 8 to 9 intercostal rib, ribs, two fingers at the bottom of the phrenic angle. Perspective accurate positioning under local anesthesia fine needle aspiration. After the success of the guide wire lead 4Fcobra with portal vein catheter. DSA examination performed again after superselective contrast agent push coronary vein blood flow observed. Transcatheter ethanol first slowly injected into 10 ml, and then the gelatin sponge particles and iodized oil mixture slowly into the B, the use of low-pressure flow control method, the injection speed as slowly as possible. Finally, steel ring bolt main block blood vessels [1].
1.2 methods and steps
Double embolization in this group of 12 cases were improved hemostasis. Of which 9 had esophageal varices embolization plus steel ring, two gastric varices in 2 cases re-thrombosis. 2 splenic embolization in 6 cases. Review after 12 months, no case of the bleeding. Only 8 cases of gastric coronary vein embolization intervention and 12 month follow-up 2 cases of rebleeding.
This group of 20 patients, 13 males and 7 females. Age of 29 years to 71 years, mean 44 years old. Cirrhosis of unknown causes in 12 cases, 6 cases of liver cirrhosis, Budd-Chiari syndrome in 2 cases. Barium swallow examination in 15 cases,
christian louboutin pas cher, 4 cases of gastroscopy and found that severe esophageal and gastric varicose veins in 7 cases,
christian louboutin france, 3 cases of moderate varicose; which combined bleeding gastric erosions, gastric ulcer in 1 case. Another 1 patient in critical condition or not barium swallow esophageal endoscopy. 7 cases in 20 cases of non-surgical treatment fails. Method for the three balloon catheter gastric esophageal vein compression, application of vasopressin and hemostatic drugs, blood transfusions.
Double embolization of portal vein involvement
[Abstract] Objective: To investigate the interventional treatment of upper gastrointestinal bleeding measures and the value of embolization. Methods: from January 2002 to January 2004 were treated 20 cases of recurrent upper gastrointestinal bleeding cases were retrospectively analyzed. Results: 12 cases of double embolization intervention and 12 month follow up,
tory burch sandals, no case of rebleeding. 8 cases of gastric coronary vein embolization intervention, 12-month follow-up 2 cases of rebleeding. Conclusion: The use of interventional treatment of upper gastrointestinal bleeding is safe and effective method not only saves lives, but also improve quality of life. Double embolization better than only the gastric coronary vein embolization.
1 Materials and methods
Interventional treatment of upper gastrointestinal bleeding
Key words upper gastrointestinal bleeding; double embolization; Intervention
upper gastrointestinal bleeding,
christian louboutin italia, trauma, rapid and reliable short and medium term effects, such patients because of repeated bleeding, poor health, the individual appeared in shock symptoms, embolization can play a dual role in saving lives, and improve quality of life [2].
3.1 features
2 results
[Keyword] upper gastrointestinal bleeding; double embolization; Intervention
1.1 General Information
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Hybrid Mode
