title: C-arm CT-guided foam sclerotherapy for the treatment of gastric varices.
abstract: 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.
authors.affiliation: 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
authors.forename: Jun
authors.initials: J
authors.lastname: Koizumi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hashimoto
authors.forename: Kazunori
authors.initials: K
authors.lastname: Myojin
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Fukushima
authors.forename: Tamaki
authors.initials: T
authors.lastname: Ichikawa
authors.forename: Tatehiro
authors.initials: T
authors.lastname: Kagawa
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Kojima
authors.forename: Norihito
authors.initials: N
authors.lastname: Watanabe
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Mine
authors.forename: Toshiya
authors.initials: T
authors.lastname: Nishibe
authors.forename: Bertrand
authors.initials: B
authors.lastname: Janne d'Othée
mesh_terms: 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*
chemical_list: D005740:Gases; D012597:Sclerosing Solutions