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.
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Goldman, ML, Land WC, Bradley EL, Anderson J (1976) Transcatheter embolization in the management of massive upper gastrointestinal bleeding. Radiology 120:513–521b
Reuter SR, Redman HC (1977) Gastrointestinal angiography, 2d ed. W.B. Saunders, Philadelphia, pp 252–266
Reuter SR (1979) Embolization of gastrointestinal hemorrhage. AJR 133:557–558
Feldman L, Greenfield AJ, Waltman AC, Novelline RA, Van Breda A, Leurs P, Athanasoulis CA (1983) Transcatheter vessel occlusion: Angiographic results versus clinical success. Radiology 147:1–5
Rosch J, Keller FS, Kozak B, Niles N, Dotter CT (1984) Gelfoam powder embolization of the left gastric artery in treatment of massive small-vessel gastric bleeding. Radiology 151:365–370
Fellows KE, Khaw KT, Schuster S, Shwachman H (1979) Bronchial artery embolization in cystic fibrosis: Technique and long term results. J Pediatr 95:959–963
Kelemouridis V, Athanasoulis CA, Waltman AC (1983) Gastric bleeding sites: An angiographic study. Radiology 149:643–648
Eckstein MR, Kelemouridis V, Athanasoulis CA, Waltman AC, Feldman L, Van Breda A (1984) Gastric bleeding: Therapy with intraarterial vasopressin and transcatheter embolization. Radiology 152:643–644
Somervell TH (1945) Physiological gastrectomy. The operation of ligature of the stomach to relieve hyperacidity and to prevent recurrent ulceration after gastroenterostomy. Br J Surg 33:146–152
Mazer MJ, Baltaxe HA, Wolf GL (1981) Therapeutic embolization of the renal artery with Gianturco coils: Limitations and technical pitfalls. Radiology 138:37–46
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Morris, D.C., Nichols, D.M., Connell, D.G. et al. Embolization of the left gastric artery in the absence of angiographic extravasation. Cardiovasc Intervent Radiol 9, 195–198 (1986). https://doi.org/10.1007/BF02577940
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DOI: https://doi.org/10.1007/BF02577940