Gastric and hepatic infarction following embolization of the left gastric artery: case report.
The authors report an initially successful left gastric artery embolization performed because of massive upper gastrointestinal bleeding; the procedure was complicated by focal gastric and hepatic infarctions. These complications occurred in the absence of underlying factors known to predispose to ischemia. Low-grade gastric bleeding persisting after seemingly successful embolization of the left gastric artery may indicate ischemic gastritis and is an indication for endoscopy. In addition, the presence of a left hepatic artery completely replaced to the left gastric artery should alert one to the potential for hepatic necrosis.
Brown
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KT
Department of Radiology, St Luke's Roosevelt Hospital Center, New York, NY 10019.
Friedman
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WN
Marks
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RA
Saddekni
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S
D000368:Aged; D000369:Aged, 80 and over; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005756:Gastritis / Q000150:complications; D006471:Gastrointestinal Hemorrhage / Q000628:therapy; D005781:Gelatin Sponge, Absorbable; D006801:Humans; D007238:Infarction / Q000209:etiology*; D008099:Liver / Q000098:blood supply*; D008297:Male; D013270:Stomach / Q000098:blood supply*