Superselective coil embolization of arterial esophageal hemorrhage.
The authors report a case of arterial esophageal bleeding resistant to endoscopic hemostasis in a patient in critical condition after complicated gastrointestinal and pulmonary surgery. Unfit for surgery, the patient's massive hemorrhage was successfully treated with superselective coil embolization of the afferent esophageal branch of the thoracic aorta. In patients with severe arterial bleeding of the esophagus, percutaneous superselective arterial coil embolization may be feasible for control of hemorrhage.
Vogten
J Mathijs
JM
Department of Vascular Surgery, Sint Antonius Hospital, P.O. Box 2500, 3430 EM Nieuwegein, The Netherlands. j.vogten@antonius.net
Overtoom
Tim T C
TT
Lely
Rutger J
RJ
Quispel
Rutger
R
de Vries
Jean Paul P M
JP
D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004935:Esophageal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004947:Esophagus / Q000098:blood supply*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D011859:Radiography; D016896:Treatment Outcome