Percutaneous Access via the Recanalized Paraumbilical Vein for Varix Embolization in Seven Patients
Korean Journal of Radiology
;
: 630-636, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-95301
ABSTRACT
OBJECTIVE:
To evaluate the feasibility of percutaneous access via the recanalized paraumbilical vein for varix embolization. MATERIALS ANDMETHODS:
Between July 2008 and Jan 2014, percutaneous access via the recanalized paraumbilical vein for varix embolization was attempted in seven patients with variceal bleeding. Paraumbilical vein puncture was performed under ultrasonographic guidance, followed by introduction of a 5-Fr sheath. We retrospectively evaluated the technical feasibility, procedure-related complications, and clinical outcomes of each patient.RESULTS:
Recanalized paraumbilical vein catheterization was performed successfully in all patients. Gastroesophageal varix embolization was performed in six patients, and umbilical varix embolization was performed in one patient. Embolic materials used are N-butyl cyanoacrylate (n = 6) and coil with N-butyl cyanoacrylate (n = 1). There were no procedure-related complications. One patient underwent repeated variceal embolization 6 hours after initial procedure via recanalized paraumbilical vein, due to rebleeding from gastric varix.CONCLUSION:
Percutaneous access via the paraumbilical vein for varix embolization is a simple alternative in patients with portal hypertension.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Veias Umbilicais
/
Varizes Esofágicas e Gástricas
/
Tomografia Computadorizada por Raios X
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Hemorragias Intracranianas
/
Embolização Terapêutica
/
Embucrilato
Tipo de estudo:
Guia de Prática Clínica
/
Estudo observacional
Limite:
Adulto
/
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Radiology
Ano de publicação:
2014
Tipo de documento:
Artigo
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