Shapiro N, Brandt L, Sprayregan S, Mitsudo S, Glotzer P
Gastroenterology. 1981 Jan;80(1):176-80.
A patient is presented who sustained a duodenal infarction after therapeutic Gelfoam embolization of the gastroduodenal artery for hemorrhage from a duodenal ulcer. Factors that may have contributed to this previously unreported complication included underlying vascular disease, recent surgery, and an associated arteritis possibly related to the Gelfoam. Although ischemic injury of the duodenum has been considered unlikely because of its dual vascular supply, our case suggests that the technique of therapeutic embolization may carry an increased risk in patients with underlying vascular disease or previous surgery within the area of the vascular bed to be embolized.
本文报告了1例患者，该患者因十二指肠溃疡出血接受胃十二指肠动脉Gelfoam栓塞治疗后发生十二指肠梗死。可能导致这一既往未报道并发症的因素包括潜在的血管疾病、近期手术以及可能与Gelfoam相关的动脉炎。尽管十二指肠因其双重血供被认为不太可能发生缺血性损伤，但我们的病例提示，对于存在潜在血管疾病或拟栓塞血管床区域曾接受手术的患者，治疗性栓塞技术可能会增加风险。
