Transportal intravariceal sclerotherapy with N-butyl-2-cyanoacrylate for gastric varices
Transportal intravariceal sclerotherapy with N-butyl-2-cyanoacrylate for gastric varices
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DOI：
10.1097/01.rvi.0000126809.59487.88
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发表时间：
2004-05-01
影响因子：
2.9
通讯作者：
Mori, H
中科院分区：
文献类型：
--
作者：
Kiyosue, H;Matsumoto, S;Mori, H
4例胃静脉曲张患者无导管引流静脉经全身静脉治疗，采用正丁基-2-氰基丙烯酸酯（NBCA）转运性动脉粥样硬化治疗。在所有患者中，通过经肝或经回肠结肠门静脉进入静脉曲张的微导管注入2-5 mL nbca -脂醇混合物，成功地消除了胃静脉曲张。没有遇到与手术有关的并发症。随访胃镜检查发现静脉曲张消失（n = 3）或明显缩小（n = 1）。随访6-46个月，未见胃静脉曲张复发或静脉曲张出血。在一些特定的病例中，运输动脉血管内硬化治疗对胃静脉曲张闭塞是有用的。
Four patients with gastric varices without catheterizable draining veins through a systemic vein were treated with transportal intravariceal sclerotherapy with n-butyl-2-cyanoacrylate (NBCA). In all patients, the gastric varices were successfully obliterated with 2-5 mL of NBCA-lipiodol mixture injected via a microcatheter introduced into the varices with transhepatic or transileocolic portal venous access. No complications related to the procedure were encountered. Follow-up gastroendoscopy showed disappearance (n = 3) or marked decrease (n = 1) of the varices. Neither recurrent gastric varices nor variceal bleeding were observed during the follow-up period (6-46 months). Transportal intravariceal sclerotherapy is useful for obliteration of gastric varices in selected cases.