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内镜超声(EUS)引导下胶水/线圈治疗胃静脉曲张后发生急性非胶水型肺栓塞:一例报告及文献复习

Acute Non-glue Pulmonary Embolism Following Endoscopic Ultrasound (EUS)-Guided Glue/Coil Treatment for Gastric Varices: A Case Report and Literature Review.

作者信息

Abdelfattah Ahmed H, Talib Usama, Elkot Ahmed N, Dawoud Hadeel, Talib Amaar

机构信息

Internal Medicine/Hospital Medicine, University of Kentucky College of Medicine, Lexington, USA.

Internal Medicine, University of Kentucky College of Medicine, Lexington, USA.

出版信息

Cureus. 2022 Jul 29;14(7):e27446. doi: 10.7759/cureus.27446. eCollection 2022 Jul.

DOI:10.7759/cureus.27446
PMID:36051733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9420448/
Abstract

Decompensated liver cirrhosis (DLC) is sometimes associated with the development of esophageal varices (EV) and gastric varices (GV). GV is less common than EV. One of the treatment methods for GV is the injection of glue into the varices, which can be complicated by the embolism of the glue into the pulmonary vessels called glue pulmonary embolism (GPE). Non-glue pulmonary embolism (NGPE) after treatment of gastric varices is not very commonly reported in the literature. Herein, we present a case of the development of non-GPE after the treatment of the GV with glue injection and coiling.

摘要

失代偿期肝硬化(DLC)有时与食管静脉曲张(EV)和胃静脉曲张(GV)的发生有关。GV比EV少见。GV的治疗方法之一是向曲张静脉内注射胶水,这可能会并发胶水栓塞到肺血管,称为胶水肺栓塞(GPE)。胃静脉曲张治疗后发生的非胶水肺栓塞(NGPE)在文献中报道并不常见。在此,我们报告一例在注射胶水和圈套治疗GV后发生非GPE的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae0a/9420448/873bc876ee69/cureus-0014-00000027446-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae0a/9420448/b4d148ddbe9e/cureus-0014-00000027446-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae0a/9420448/873bc876ee69/cureus-0014-00000027446-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae0a/9420448/b4d148ddbe9e/cureus-0014-00000027446-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae0a/9420448/873bc876ee69/cureus-0014-00000027446-i02.jpg

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本文引用的文献

1
EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis.EASL 临床实践指南:肝硬化患者出血和血栓形成的预防和管理。
J Hepatol. 2022 May;76(5):1151-1184. doi: 10.1016/j.jhep.2021.09.003. Epub 2022 Mar 15.
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Cyanoacrylate pulmonary embolism after endoscopic sclerotherapy of gastric varices.胃静脉曲张内镜硬化治疗后氰基丙烯酸酯肺栓塞
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Current Approaches to the Treatment of Gastric Varices: Glue, Coil Application, TIPS, and BRTO.
当前治疗胃静脉曲张的方法:胶、线圈应用、TIPS 和 BRTO。
Medicina (Kaunas). 2019 Jul 3;55(7):335. doi: 10.3390/medicina55070335.
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Intraluminal Arterial Filling Defects Misdiagnosed as Pulmonary Emboli: What Else Could They Be?腔内动脉充盈缺损被误诊为肺栓塞:还可能是什么?
Clin Chest Med. 2018 Sep;39(3):505-513. doi: 10.1016/j.ccm.2018.04.004.
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Portal hypertensive bleeding in cirrhosis: Risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the study of liver diseases.肝硬化门静脉高压出血:风险分层、诊断及管理:美国肝病研究协会2016年实践指南
Hepatology. 2017 Jan;65(1):310-335. doi: 10.1002/hep.28906. Epub 2016 Dec 1.
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The risk of venous thromboembolism in patients with cirrhosis. A systematic review and meta-analysis.肝硬化患者发生静脉血栓栓塞的风险。一项系统评价与荟萃分析。
Thromb Haemost. 2017 Jan 5;117(1):139-148. doi: 10.1160/TH16-06-0450. Epub 2016 Oct 20.
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The risks of thromboembolism vs. recurrent gastrointestinal bleeding after interruption of systemic anticoagulation in hospitalized inpatients with gastrointestinal bleeding: a prospective study.住院胃肠道出血患者中断全身抗凝后血栓栓塞风险与复发性胃肠道出血风险的比较:一项前瞻性研究。
Am J Gastroenterol. 2015 Feb;110(2):328-35. doi: 10.1038/ajg.2014.398. Epub 2014 Dec 16.
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Deep vein thrombosis and pulmonary embolism in cirrhotic patients: systematic review.肝硬化患者的深静脉血栓形成和肺栓塞:系统评价
World J Gastroenterol. 2014 May 21;20(19):5737-45. doi: 10.3748/wjg.v20.i19.5737.
9
Education and imaging: gastrointestinal: pulmonary embolism of cyanoacrylate glue following endoscopic injection of gastric varices.教育与影像学:胃肠道:内镜下注射胃静脉曲张后氰基丙烯酸酯胶致肺栓塞
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Enoxaparin prevents portal vein thrombosis and liver decompensation in patients with advanced cirrhosis.依诺肝素可预防晚期肝硬化患者门静脉血栓形成和肝功能失代偿。
Gastroenterology. 2012 Nov;143(5):1253-1260.e4. doi: 10.1053/j.gastro.2012.07.018. Epub 2012 Jul 20.