使用腔静脉滤器和弹簧圈栓塞大型胃静脉曲张。

Embolization of large gastric varices using vena cava filter and coils.

作者信息

Ford Jason M, Shah Himanshu, Stecker Michael S, Namyslowski Jan

机构信息

Department of Radiology, Indiana University School of Medicine, Indianapolis, USA.

出版信息

Cardiovasc Intervent Radiol. 2004 Jul-Aug;27(4):366-9. doi: 10.1007/s00270-004-0071-z. Epub 2004 Jun 23.

DOI:10.1007/s00270-004-0071-z

PMID:15346211

Abstract

A 40-year-old male with alcoholic cirrhosis and portal hypertension presented with acute variceal hemorrhage. Abdominal CT scan and endoscopy revealed large gastric varices. The patient underwent a TIPS procedure. Portal venography demonstrated persistent filling of the large gastric varices with associated high-flow spontaneous splenorenal shunt. Because of the large size of the varices, a Simon-Nitinol filter was used in conjunction with multiple embolization coils to enable successful occlusion of the varices.

摘要

一名患有酒精性肝硬化和门静脉高压的40岁男性出现急性静脉曲张出血。腹部CT扫描和内镜检查显示有大的胃静脉曲张。该患者接受了经颈静脉肝内门体分流术（TIPS）。门静脉造影显示大的胃静脉曲张持续充盈，并伴有高流量自发性脾肾分流。由于静脉曲张较大，使用了西蒙镍钛合金滤器并结合多个栓塞线圈，以成功闭塞静脉曲张。