Balloon-assisted percutaneous transhepatic variceal embolization with cyanoacrylate for treatment of isolated gastric varices

doi:10.3877/cma.j.issn.2095-2015.2019.02.002

Abstract

Abstract:

Objective

To evaluate the effectiveness and safety of percutaneous transhepatic variceal embolization(PTVE)with cyanoacrylate assisted with balloon for the treatment of isolated gastric varice(IGV)with gastrorenal shunt(GRS).

Methods

Thirty patients with IGV associated with GRS who underwent balloon-assisted PTVE after shunt balloon occlusion via renal vein in Department of Gastroenterology of Shandong Provincial Hospital Affiliated to Shandong University between March 2010 and June 2015 were retrospectively analyzed.The technical success rate, clinical success rate, complications and follow-up were summarized.

Results

Balloon-assisted PTVE was technically successful in all 30 patients.No serious complications were observed except for one nonsymptomatic pulmonary embolism.During a mean follow-up of 30 months, re-bleeding was observed in 4/30(13.3%)patients, worsening of esophageal varices was observed in 4/30(13.3%)patients, and newly developed or aggravated ascites were observed in 3/30(10%)patients.The 1-, 2-, 3-and 5-year cumulative survival rates were 96.3%, 96.3%, 79.9% and 79.9%, respectively.

Conclusion

Balloon-assisted PTVE with cyanoacrylate is technically feasible, safe and effective for the treatment of IGV associated with GRS, and it is an useful alternative scheme.

Key words: Portal hypertension, Isolated gastric varices, Gastrorenal shunts, Percutaneous transhepatic variceal embolization

Guangchuan Wang, Guangjun Huang, Gonghai Chen, Yongjun Shi, Chunqing Zhang. Balloon-assisted percutaneous transhepatic variceal embolization with cyanoacrylate for treatment of isolated gastric varices[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2019, 09(02): 55-60.

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References 20

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特征	患者
年龄(年)	49.5 (26－79)
性别(男/女)	16/14
肝硬化病因	?
HBV/HCV	17/1
酒精/自身免疫性肝病/不明	6/3/3
Child-Pugh分级	?
A/B/C	19/8/3
胃静脉曲张位置	?
IGV1	30
胃静脉曲张的形态	?
F2	11
F3	19
红色征	14
肝性脑病(术前)	2
胃肾分流	30
出血病史	30
随访时间	30个月(2-80)

特征	患者
年龄(年)	49.5 (26－79)
性别(男/女)	16/14
肝硬化病因	?
HBV/HCV	17/1
酒精/自身免疫性肝病/不明	6/3/3
Child-Pugh分级	?
A/B/C	19/8/3
胃静脉曲张位置	?
IGV1	30
胃静脉曲张的形态	?
F2	11
F3	19
红色征	14
肝性脑病(术前)	2
胃肾分流	30
出血病史	30
随访时间	30个月(2-80)

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