PMID: 6970079Jan 1, 1980Paper

Transhepatic embolization of varices

Cardiovascular and Interventional Radiology
W C WidrichD C Nabseth

Abstract

Percutaneous transhepatic embolization of varices (PTEV) has proved to be effective in the control variceal bleeding, particularly in Child's Class C Category patients whose bleeding was not adequately controlled by pitressin perfusions. PTEV, using Gel-Foam soaked in sodium tetradecyl sulfate, controlled acute variceal bleeding in 71--95% of patients and appears to be more effective as an embolizing agent than bucrylate, which controlled 43--57%. Considering the poor condition of the patients particularly during acute bleeding episodes, PTEV is a relatively safe therapeutic procedure that buys time for the surgeons to perform a decompressive shunt electively as definitive surgery. A one-year recurrent bleeding rate of 30% and a two year recurrence of 37.5% was noted. Thus, for long term control of variceal bleeding, a surgical decompressive shunt is recommended in addition to PTEV.

References

Oct 1, 1978·AJR. American Journal of Roentgenology·W C WidrichS A Goldstein
Dec 1, 1979·AJR. American Journal of Roentgenology·A H FunaroR L Gordon
Sep 1, 1977·Annals of Surgery·W C JohnsonD C Nabseth
Oct 1, 1979·Annals of Surgery·S BengmarkT Owman
Aug 1, 1977·AJR. American Journal of Roentgenology·M ViamonteD Hutson
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Dec 1, 1968·Archives of Surgery·M NusbaumW S Blakemore
Nov 1, 1969·The American Journal of Digestive Diseases·R S McCrayN Zamcheck
Dec 26, 1964·Lancet·E N THOMPSONS SHERLOCK

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Citations

Feb 1, 1982·The Western Journal of Medicine·R A Malt
Jul 1, 1992·Current Problems in Diagnostic Radiology·P L Abbitt
Jul 1, 1983·Seminars in Nuclear Medicine·H S WeissmannL M Freeman
Sep 25, 2016·Cardiovascular and Interventional Radiology·Masashi ShimohiraYuta Shibamoto
Mar 1, 1990·The British Journal of Surgery·J D GreigD C Carter
Jan 1, 1983·Cardiovascular and Interventional Radiology·F J Miller, D E Mineau

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