title: Laser disintegration of cyanoacrylate clot with successful endoscopic removal of sclerotherapy needle from gastric varix.
abstract: Intravariceal cyanoacrylate injection is a highly effective and safe procedure for the treatment of bleeding gastric varices. Nevertheless, some cases of severe cyanoacrylate-specific complications due to embolization have been described. Technical difficulties, including risk of sclerotherapy needle clogging, and cyanoacrylate sticking to the tip and the accessory channel of the endoscope, have been mentioned in other reports. We report a case in which a sclerotherapy needle that remained stuck in gastric valves after bucrylate injection was successfully removed by laser disintegration of the cyanoacrylate clot.
authors.affiliation: Klinik für Innere Medizin, Oskar-Ziethen-Krankenhaus, Berlin Lichtenberg, Berlin, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Lorenz
authors.forename: N
authors.initials: N
authors.lastname: Städtler
authors.forename: H -J
authors.initials: H-
authors.lastname: Schulz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004659:Enbucrilate / Q000008:administration & dosage; D004868:Equipment Failure; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D015552:Injections, Intralesional / Q000009:adverse effects / Q000295:instrumentation; D053685:Laser Therapy; D009339:Needles; D015911:Sclerotherapy / Q000009:adverse effects* / Q000295:instrumentation
chemical_list: D004659:Enbucrilate