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

Abstract:

:Nine high-risk patients with endoscopic evidence of bleeding from the left gastric artery territory 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.

authors

Morris DC,Nichols DM,Connell DG,Burhenne HJ

doi

10.1007/BF02577940

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

195-8

issue

4

eissn

0174-1551

issn

1432-086X

journal_volume

9

pub_type

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