C-arm CT-guided foam sclerotherapy for the treatment of gastric varices.
The authors describe here the use of foam sclerotherapy under C-arm computed tomography (CT) guidance for the treatment of gastric varices via balloon-occluded retrograde transvenous obliteration in seven patients and percutaneous transhepatic obliteration in one patient. All gastric varices were occluded successfully after replacement of blood by foam, which was trapped in the gastric varices as shown by C-arm CT. It also helped reduce the amount of sclerosant, an issue that is associated with severe complications, such as hemolysis, allergy, acute respiratory distress syndrome, and others. Foam sclerotherapy under C-arm CT guidance is a promising tool in the therapeutic armamentarium against gastric varices.
Koizumi
Jun
J
Department of Diagnostic Radiology, School of Medicine, Tokai University, 143 Shimokasuya, Isehara-city, Kanagawa-prefecture 259-1193, Japan. jkoizumi@is.icc.u-tokai.ac.jp
Hashimoto
Takeshi
T
Myojin
Kazunori
K
Fukushima
Tomokazu
T
Ichikawa
Tamaki
T
Kagawa
Tatehiro
T
Kojima
Seiichiro
S
Watanabe
Norihito
N
Mine
Tetsuya
T
Nishibe
Toshiya
T
Janne d'Othée
Bertrand
B
D000368:Aged; D000369:Aged, 80 and over; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D005740:Gases / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional / Q000379:methods*; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D015911:Sclerotherapy / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*
D005740:Gases; D012597:Sclerosing Solutions