Sparks F C, Maitem A, Glickman M G, Tilson M D
Arch Surg. 1982 Mar;117(3):354-8. doi: 10.1001/archsurg.1982.01380270068015.
Embolization of bleeding esophageal varices via the umbilical vein can be used as an alternative technique to percutaneous transhepatic coronary vein occlusion (PTCVO). Both techniques can stop acute bleeding from esophageal varices and allow the cirrhotic patient with portal hypertension to be prepared for an elective rather than an emergency shunt. Embolization via the umbilical vein can be performed with a patient under local anesthesia, can be effective when other methods fail, and can be done safely in the presence of both ascites and a bleeding diathesis, which are two contraindications to PTCVO.
经脐静脉栓塞出血性食管静脉曲张可作为经皮经肝冠状静脉闭塞术（PTCVO）的替代技术。这两种技术都能止住食管静脉曲张的急性出血，并使患有门静脉高压的肝硬化患者为择期而非急诊分流术做好准备。经脐静脉栓塞可在局部麻醉下对患者进行，在其他方法失败时可能有效，并且在存在腹水和出血素质这两种PTCVO的禁忌证的情况下也能安全进行。
