Nakamura H, Hashimoto T, Oi H, Sawada S, Furui S
Department of Radiology, Osaka University, Osaka Teishin Hospital, Japan.
Acta Radiol. 1991 Jan;32(1):81-2.
Gastric complications may be a problem in transcatheter arterial chemoembolization, if the right gastric artery branches distally from the proper hepatic artery or its branch, or the accessory left gastric artery arises from the left hepatic artery. We occluded the proper hepatic artery with a balloon catheter to redirect blood flow in these gastric branches toward the liver. This procedure prevented chemoembolic agents from flowing into the gastric branches, and accordingly protected against gastric complications even when chemoembolization was performed by injecting the agents proximally to the gastric branches.
如果胃右动脉自肝固有动脉或其分支向远端发出，或副左胃动脉起自左肝动脉，那么胃并发症可能是经导管动脉化疗栓塞术的一个问题。我们用球囊导管阻断肝固有动脉，以使这些胃分支的血流改向肝脏。这一操作可防止化疗栓塞剂流入胃分支，因此即使在胃分支近端注射化疗栓塞剂进行化疗栓塞时，也能预防胃并发症。
