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Embolization of the left gastric artery in the absence of angiographic extravasation

  • D. Christopher Morris
  • David M. Nichols
  • Douglas G. Connell
  • H. Joachim Burhenne
Article

Abstract

Nine high-risk patients with endoscopic evidence of bleeding from the left gastric artery teritory without angiographic extravasation were embolized to prevent rebleeding. Three were embolized with Gelfoam particles, 1 with Gianturco coils, and 5 with Gelfoam plus coils. Three patients rebled; 2 were embolized with Gelfoam only, and the third with coils only. No rebleeding occurred in the 5 patients treated with Gelfoam plus coils. No ischemic complications occurred. We conclude that embolization of the left gastric artery, despite absence of extravasation, is effective in preventing rebleeding in high-risk patients and that both Gelfoam and coils be used.

Key words

Upper gastrointestinal hemorrhage Left gastric artery Embolization Gelfoam Coils 

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Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • D. Christopher Morris
    • 1
    • 2
  • David M. Nichols
    • 1
    • 2
  • Douglas G. Connell
    • 1
    • 2
  • H. Joachim Burhenne
    • 1
    • 2
  1. 1.Department of RadiologyUniversity British ColumbiaVancouverCanada
  2. 2.Department of RadiologyVancouver General HospitalVancouverCanada

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