中国病例中胃静脉曲张的弹簧圈辅助逆行经静脉闭塞术
Coil-assisted retrograde transvenous obliteration for gastric varices in a Chinese case.
作者信息
Ding Pengxu, Liu Chao, Han Xinwei, Lee Edward Wolfgang
机构信息
Department of Intervention, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Division of Interventional Radiology, Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
出版信息
J Interv Med. 2021 Feb 22;4(2):94-96. doi: 10.1016/j.jimed.2021.02.003. eCollection 2021 May.
Gastric varices are a major complication of portal hypertension in patients with liver cirrhosis and are associated with more massive bleeding events and higher mortality rate. Transjugular intrahepatic portosystemic shunt (TIPS) and balloon-occluded retrograde transvenous obliteration (BRTO) have been well documented as effective therapies for portal hypertensive gastric variceal bleeding. In China, TIPS are well accepted but BRTO is not well recieved due to the increase risk of complications associated with traditional BRTO. However, modified-BRTO, known as coil-assisted and plug-assisted retrograde transvenous obliteration (CARTO and PARTO, respectively), is receiving increased attention due to devoid of BRTO's shortcomings. No CARTO case from China has been reported in literature thus far. Here, we present a Chinese case of CARTO to treat gastric varices bleeding.
胃静脉曲张是肝硬化患者门静脉高压的主要并发症，与更大量的出血事件和更高的死亡率相关。经颈静脉肝内门体分流术（TIPS）和球囊闭塞逆行静脉栓塞术（BRTO）已被充分证明是治疗门静脉高压性胃静脉曲张出血的有效疗法。在中国，TIPS被广泛接受，但由于传统BRTO相关并发症风险增加，BRTO并未得到广泛认可。然而，改良BRTO，即分别称为线圈辅助逆行静脉闭塞术（CARTO）和栓塞物辅助逆行静脉闭塞术（PARTO），因其没有BRTO的缺点而受到越来越多的关注。迄今为止，中国尚无CARTO病例的文献报道。在此，我们报告一例中国患者采用CARTO治疗胃静脉曲张出血的病例。
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