Endovascular Management of Gastric Conduit Hemorrhage following Transthoracic Esophagectomy.

Autor: Zheng L; Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China., Lee IJ; Department of Radiology, National Cancer Center, Goyang-si, Gyeonggi-do, Korea., Shin JH; Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China; Department of Radiology and Research Institute of Radiology, Asan Medical Center, Seoul, Korea. Electronic address: jhshin@amc.seoul.kr., Chu HH; Department of Radiology and Research Institute of Radiology, Asan Medical Center, Seoul, Korea., Li HL; Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Jazyk: angličtina
Zdroj: Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2021 Aug; Vol. 32 (8), pp. 1144-1149. Date of Electronic Publication: 2021 May 19.
DOI: 10.1016/j.jvir.2021.05.003
Abstrakt: Seven patients underwent angiography and attempted embolization for massive hemorrhage of the gastric conduit after transthoracic esophagectomy. Endoscopy revealed ulcers in 5 patients, tumor recurrence in 1 patient, and unknown etiology in 1 patient. Arteriography revealed extravasation, pseudoaneurysm, or tumor blush arising from the intercostal artery (n = 4) or right gastric artery (n = 2), which were successfully embolized. The bleeding source was not identified in 1 patient, who died from persistent hemorrhage.
(Copyright © 2021 SIR. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE