[Infusion of sclerosant through direct cannulation of the coronary vein in the prevention and treatment of esophageal varices bleeding in portal hypertension].
To control bleeding from esophageal varices in portal hypertension, infusion of sclerosant through direct cannulation of the coronary vein at splenectomy was carried out in 50 patients, either as an emergent procedure or during bleeding interval. In all cases complete obliteration of the varices was revealed by coronary venography after the infusion. Prompt control of bleeding was obtained in 94% of patients. Three Child C grade patients died within one month postoperatively. Rebleeding occurred in only 6.7% during a follow-up of 1-4 years (an average of 36.4 months). One, two, and three year complication-free survival rate was 97.5%, 95.6%, and 93.5% respectively. The procedure is thus considered satisfactory and recommendable.
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D000293:Adolescent; D000328:Adult; D002404:Catheterization; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D005947:Glucose / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D013270:Stomach / Q000098:blood supply; D014680:Veins
D012597:Sclerosing Solutions; D005947:Glucose