Brown K T, Friedman W N, Marks R A, Saddekni S
Department of Radiology, St Luke's Roosevelt Hospital Center, New York, NY 10019.
Radiology. 1989 Sep;172(3):731-2. doi: 10.1148/radiology.172.3.2788892.
The authors report an initially successful left gastric artery embolization performed because of massive upper gastrointestinal bleeding; the procedure was complicated by focal gastric and hepatic infarctions. These complications occurred in the absence of underlying factors known to predispose to ischemia. Low-grade gastric bleeding persisting after seemingly successful embolization of the left gastric artery may indicate ischemic gastritis and is an indication for endoscopy. In addition, the presence of a left hepatic artery completely replaced to the left gastric artery should alert one to the potential for hepatic necrosis.
