氰基丙烯酸酯注射治疗出血性胃静脉曲张后门静脉栓塞的抗凝治疗
Anticoagulation in the treatment of portovenous emboli after cyanoacrylate injection for a bleeding gastric varix.
作者信息
Kwa Charlene Xian Wen, Tan Veronique Kiak Mien, Ong Hock Soo
机构信息
Department of Anaesthesiology, Academia Level 5, Singapore General Hospital, Outram Road, Singapore 169608.
出版信息
Singapore Med J. 2015 Jan;56(1):e14-6. doi: 10.11622/smedj.2015016.
Abstract
We herein report the use of endoscopic n-butyl-2-cyanoacrylate injections to obliterate a gastric varix, which led to cyanoacrylate embolisation in the splenic and portal veins in a single patient. Cyanoacrylate embolisation is a known but uncommonly reported complication of endoscopic sclerotherapy. This case report illustrates the successful management of this complication (i.e. cyanoacrylate embolisation in the splenic and portal veins) with anticoagulation and analyses the presentation and management of other cases of cyanoacrylate embolisation reported in the literature.
摘要
我们在此报告使用内镜下注射正丁基-2-氰基丙烯酸酯闭塞胃静脉曲张，此操作导致一名患者出现脾静脉和门静脉内的氰基丙烯酸酯栓塞。氰基丙烯酸酯栓塞是内镜硬化治疗一种已知但较少报道的并发症。本病例报告阐述了通过抗凝成功处理这一并发症（即脾静脉和门静脉内的氰基丙烯酸酯栓塞），并分析了文献中报道的其他氰基丙烯酸酯栓塞病例的表现及处理方法。
相似文献
1
Anticoagulation in the treatment of portovenous emboli after cyanoacrylate injection for a bleeding gastric varix.氰基丙烯酸酯注射治疗出血性胃静脉曲张后门静脉栓塞的抗凝治疗
Singapore Med J. 2015 Jan;56(1):e14-6. doi: 10.11622/smedj.2015016.
2
Endoscopic injection sclerotherapy for pediatric bleeding esophageal varices complicated by gastric vein, main portal vein, splenic mesenteric junction, and splenic vein occlusion: a case report.内镜下注射硬化疗法治疗小儿出血性食管静脉曲张合并胃静脉、门静脉主干、脾肠系膜交界处及脾静脉闭塞：一例报告
BMC Gastroenterol. 2019 Feb 28;19(1):37. doi: 10.1186/s12876-019-0955-7.
3
Hepatic failure requiring transplantation caused by portal vein embolism as a complication of N-buty-2-cyanoacrylate injection for a bleeding gastric varix.
Gastrointest Endosc. 2009 Apr;69(4):967-9. doi: 10.1016/j.gie.2008.05.064.
4
[Pulmonary embolism after endoscopic injection with N-butyl-2-cyanoacrylate for gastric varices].内镜下注射N-丁基-2-氰基丙烯酸酯治疗胃静脉曲张后发生肺栓塞
Medicina (B Aires). 2016;76(6):373-375.
5
Endoscopic cyanoacrylate injection with or without lauromacrogol for gastric varices: A randomized pilot study.内镜下注射氰基丙烯酸酯联合或不联合聚桂醇治疗胃静脉曲张：一项随机对照试验。
J Gastroenterol Hepatol. 2017 Mar;32(3):631-638. doi: 10.1111/jgh.13496.
6
Risk of bacteremia in bleeding and nonbleeding gastric varices after endoscopic injection of cyanoacrylate.内镜下注射氰基丙烯酸酯后出血性和非出血性胃静脉曲张患者发生菌血症的风险
Endoscopy. 2008 Aug;40(8):644-9. doi: 10.1055/s-2008-1077294. Epub 2008 Jun 17.
7
Endoscopic cyanoacrylate injection for the treatment of gastric varices in children.内镜下注射氰基丙烯酸酯治疗儿童胃静脉曲张
World J Gastroenterol. 2015 Mar 7;21(9):2719-24. doi: 10.3748/wjg.v21.i9.2719.
8
Recurrent bacteremia after injection of N-butyl-2-cyanoacrylate for treatment of bleeding gastric varices: a case report and review of the literature.注射N-丁基-2-氰基丙烯酸酯治疗胃静脉曲张出血后复发性菌血症：一例报告并文献复习
BMC Res Notes. 2015 Nov 19;8:692. doi: 10.1186/s13104-015-1679-6.
9
Efficacy, complications and clinical outcomes of endoscopic sclerotherapy with N-butyl-2-cyanoacrylate for bleeding gastric varices.用N-丁基-2-氰基丙烯酸酯进行内镜下硬化治疗胃静脉曲张出血的疗效、并发症及临床结局
Dig Dis. 2008;26(4):300-3. doi: 10.1159/000177012. Epub 2009 Jan 30.
10
Endoscopic hemostasis for bleeding gastric varices treated by combination of variceal ligation and sclerotherapy with N-butyl-2-cyanoacrylate.内镜下使用套扎术联合聚桂醇硬化剂注射及氰基丙烯酸正丁酯治疗胃静脉曲张出血的止血治疗
J Gastroenterol. 2007 Jul;42(7):528-32. doi: 10.1007/s00535-007-2041-0. Epub 2007 Jul 25.
本文引用的文献
1
Low incidence of complications from endoscopic gastric variceal obturation with butyl cyanoacrylate.内镜下用氰基丙烯酸丁酯治疗胃静脉曲张闭塞的并发症发生率低。
Clin Gastroenterol Hepatol. 2010 Sep;8(9):760-6. doi: 10.1016/j.cgh.2010.05.019. Epub 2010 May 31.
2
Vascular disorders of the liver.肝脏血管疾病
Hepatology. 2009 May;49(5):1729-64. doi: 10.1002/hep.22772.
3
Hepatic failure requiring transplantation caused by portal vein embolism as a complication of N-buty-2-cyanoacrylate injection for a bleeding gastric varix.
Gastrointest Endosc. 2009 Apr;69(4):967-9. doi: 10.1016/j.gie.2008.05.064.
4
Portal-vein embolization after sclerotherapy treatment of bleeding gastric varices: report of a case with long-term follow-up.硬化疗法治疗出血性胃静脉曲张后行门静脉栓塞术：长期随访病例报告
Gastrointest Endosc. 2009 May;69(6):1176-8. doi: 10.1016/j.gie.2008.07.006. Epub 2009 Jan 18.
5
Portal hypertension-related complications after acute portal vein thrombosis: impact of early anticoagulation.急性门静脉血栓形成后门静脉高压相关并发症：早期抗凝的影响
Clin Gastroenterol Hepatol. 2008 Dec;6(12):1412-7. doi: 10.1016/j.cgh.2008.07.031.
6
Portal vein embolization as a complication of Histoacryl injection for a bleeding giant gastric ulcer.组织黏合剂注射治疗巨大出血性胃溃疡导致的门静脉栓塞
Endoscopy. 2007 Feb;39 Suppl 1:E110. doi: 10.1055/s-2007-966148. Epub 2007 Apr 18.
7
Fatal multiple systemic embolisms after injection of cyanoacrylate in bleeding gastric varices of a patient who was noncirrhotic but with idiopathic portal hypertension.一名非肝硬化但患有特发性门静脉高压症的患者，在注射氰基丙烯酸酯治疗出血性胃静脉曲张后发生致命性多系统栓塞。
Gastrointest Endosc. 2007 Feb;65(2):345-7. doi: 10.1016/j.gie.2006.07.009. Epub 2006 Dec 1.
8
Transcatheter thrombolytic therapy for acute mesenteric and portal vein thrombosis.经导管溶栓治疗急性肠系膜和门静脉血栓形成
J Vasc Interv Radiol. 2005 May;16(5):651-61. doi: 10.1097/01.RVI.0000156265.79960.86.
9
N-2-butyl-cyanoacrylate for bleeding gastric varices: a United States pilot study and cost analysis.用于治疗胃静脉曲张出血的N-2-丁基氰基丙烯酸酯：一项美国的初步研究及成本分析。
Am J Gastroenterol. 2003 Sep;98(9):1982-8. doi: 10.1111/j.1572-0241.2003.07637.x.
10
Recent portal or mesenteric venous thrombosis: increased recognition and frequent recanalization on anticoagulant therapy.近期门静脉或肠系膜静脉血栓形成：抗凝治疗后诊断率提高且再通频繁。
Hepatology. 2000 Sep;32(3):466-70. doi: 10.1053/jhep.2000.16597.
Zotero 插件