Vogten J Mathijs, Overtoom Tim T C, Lely Rutger J, Quispel Rutger, de Vries Jean Paul P M
Department of Vascular Surgery, Sint Antonius Hospital, P.O. Box 2500, 3430 EM Nieuwegein, The Netherlands.
J Vasc Interv Radiol. 2007 Jun;18(6):771-3. doi: 10.1016/j.jvir.2007.02.022.
The authors report a case of arterial esophageal bleeding resistant to endoscopic hemostasis in a patient in critical condition after complicated gastrointestinal and pulmonary surgery. Unfit for surgery, the patient's massive hemorrhage was successfully treated with superselective coil embolization of the afferent esophageal branch of the thoracic aorta. In patients with severe arterial bleeding of the esophagus, percutaneous superselective arterial coil embolization may be feasible for control of hemorrhage.
作者报告了1例在复杂的胃肠和肺部手术后病情危急的患者，其动脉性食管出血对内镜止血无效。由于患者不适合手术，通过对胸主动脉食管传入分支进行超选择性线圈栓塞成功治疗了该患者的大出血。对于食管严重动脉出血的患者，经皮超选择性动脉线圈栓塞控制出血可能是可行的。
