Hashimoto M, Heianna J, Tate E, Kurosawa R, Nishii T, Mayama I
Department of Radiology, Akita University School of Medicine, 1-1-1 Hondo, Akita City, Akita 010-0041, Japan.
J Vasc Interv Radiol. 2001 Sep;12(9):1103-6. doi: 10.1016/s1051-0443(07)61599-1.
Retrograde catheterization of the right gastric artery was attempted in 22 patients for the purpose of proximal right gastric artery embolization. Retrograde catheterization was successfully performed in 12 of the 14 patients (86%) with smooth anastomoses. Retrograde catheterization was unsuccessful (n = 1) or time-consuming (n = 1) in two patients (14%) with smooth anastomoses. Right gastric artery embolization was successfully performed with microcoils in 13 of the patients. In all eight patients with tortuous anastomoses, catheterization was unsuccessful. Retrograde catheterization should be considered possible when preliminary angiography indicates a smooth anastomosis with the left gastric artery.
为了对胃右动脉近端进行栓塞，对22例患者尝试进行了胃右动脉逆行插管。在14例吻合口通畅的患者中，12例（86%）成功进行了逆行插管。2例（14%）吻合口通畅的患者逆行插管未成功（1例）或耗时较长（1例）。13例患者成功使用微线圈进行了胃右动脉栓塞。在所有8例吻合口迂曲的患者中，插管均未成功。当初步血管造影显示与胃左动脉吻合口通畅时，应考虑可能进行逆行插管。
