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Transhepatic Embolization of Varices

  • Warren C. Widrich
  • Alan H. Robbins
  • Donald C. Nabseth
  • Ronald A. Malt
Conference paper

Abstract

Percutaneous transhepatic embolization of varices (PTEV) has proved to be effective in the control variceal bleeding, particularly in Child’s Class C Category patients whose bleeding was not adequately controlled by pitressin perfusions. PTEV, using Gel-foam soaked in sodium tetradecyl sulfate, controlled acute variceal bleeding in 71–95% of patients and appears to be more effective as an embolizing agent than bucrylate, which controlled 43–57%. Considering the poor condition of the patients particularly during acute bleeding episodes, PTEV is a relatively safe therapeutic procedure that buys time for the surgeons to perform a decompressive shunt electively as definitive surgery. A one-year recurrent bleeding rate of 30% and a two year recurrence of 37.5% was noted. Thus, for long term control of variceal bleeding, a surgical decompressive shunt is recommended in addition to PTEV.

Key words

Gelfoam Embolism, therapeutic Catheters and catheterization Esophagus, hemorrhage Interventional radiology 

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Copyright information

© Springer-Verlag Berlin · Heidelberg 1981

Authors and Affiliations

  • Warren C. Widrich
    • 1
  • Alan H. Robbins
    • 1
  • Donald C. Nabseth
    • 2
  • Ronald A. Malt
    • 3
  1. 1.Departments of RadiologyBoston Veterans Administration Medical Center and Tufts University School of MedicineJamaica PlainUSA
  2. 2.Departments of SurgeryBoston Veterans Administration Medical Center and Tufts University School of MedicineBostonUSA
  3. 3.Department of SurgeryHarvard Medical School, and Surgical Services, Massachusetts General HospitalBostonUSA

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