用EUS引导线圈切除来治疗胃静脉的治疗方法
Davekaran Buttar1, Mayank Goyal1, Ashwariya Ohri1
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
概括
用内镜超声波引导的线圈栓塞为胃静脉提供了一种安全有效的治疗方法. 这种最少的侵入性方法非常适合患有形孔的患者,减少与标准疗法相关的风险.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 血管干预 血管干预
背景情况:
- 与食道静脉相比,胃静脉呈现出较高的出血和死亡风险.
- 标准的治疗方法,如蓝烯酸盐注射和气球逆向透静脉消灭,都会带来动脉栓塞的风险,特别是在患有形孔的患者中.
- 在患有卵巢孔的患者中,胃静脉的管理需要仔细考虑治疗风险.
研究的目的:
- 介绍一项关于EUS引导线圈栓塞治疗胃变节的疗效的案例研究.
- 突出EUS导向线圈栓塞作为一种更安全的替代方案,在患者的专利卵巢孔.
- 评估这种新方法在治疗复杂的胃静脉的安全性和有效性.
主要方法:
- 一份病例报告显示,一名80岁的男性患有肝硬化和胃食道静脉,出现上部肠道出血.
- 通过气泡研究的跨胸腔心声图对 patent foramen ovale 的诊断,表明标准治疗的高栓塞风险.
- 使用Nester线圈进行EUS引导线圈栓塞的性能,由于其他程序的禁忌.
主要成果:
- 成功部署了十个EUS引导的Nester线圈,实现了多普勒流停止.
- 术后内镜证实了血液静止和血红蛋白水平的稳定.
- 随访表明没有活跃的出血,胃缩和患者的稳定性,导致出院.
结论:
- EUS引导的线圈栓塞是一种安全有效的替代方案,用于胃水的管理.
- 这种技术可以减轻患有形孔患者动脉栓塞的风险.
- 它为那些不适合常规治疗的高风险患者提供了可行的治疗选择.
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