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Recent advances in endovascular techniques for management of acute nonvariceal upper gastrointestinal bleeding

查看全文 作　　者：Romaric F [1]Loffroy;Basem A [2]Abualsaud;Ming D [3]Lin;Pramod P [4]Rao 高影响力作者 机构地区：[1]LE2I Laboratory,CNRS UMR 5158,Department of Vascular and Interventional Radiology,University of Dijon School of Medicine,Bocage Teaching Hospital,2 Bd Maréchal de Lattre de Tassigny,BP 77908,21079 Dijon,France;[2]Department of Vascular and Interventional Radiology,University of Dijon School of Medicine,Bocage Teaching Hospital,2 Bd Maréchal de Lattre de Tassigny,BP 77908,21079 Dijon,France;[3]Clinical Informatics,Interventional,and Translational Solutions,Philips Research North America,345 Scarborough Road,Briarcliff Manor,NY 10510,United States;[4]Russell H.Morgan Department of Radiology and Radiological Science,Division of Vascular and Interventional Radiology,Johns Hopkins Hospital,600 North Wolfe Street, Blalock 545,Baltimore,MD 21287,United States高影响力机构 出　　处：《World Journal of Gastrointestinal Surgery》索引2011年第3卷第7期,共12页高影响力期刊 摘　　要：Over the past two decades,transcatheter arterial embolization has become the first-line therapy for the management of upper gastrointestinal bleeding that is refractory to endoscopic hemostasis.Advances in catheter-based techniques and newer embolic agents, as well as recognition of the effectiveness of minimally invasive treatment options,have expanded the role of interventional radiology in the management of hemorrhage for a variety of indications,such as peptic ulcerbleeding,malignant disease,hemorrhagic Dieulafoy lesions and iatrogenic or trauma bleeding.Transcatheter interventions include the following:selective embolization of the feeding artery,sandwich coil occlusion of the gastroduodenal artery,blind or empiric embolization of the supposed bleeding vessel based on endoscopic findings and coil pseudoaneurysm or aneurysm embolization by three-dimensional sac packing with preservation of the parent artery.Transcatheter embolization is a fast,safe and effective,minimally invasive alternative to surgery when endoscopic treatment fails to control bleeding from the upper gastrointestinal tract.This article reviews the various transcatheter endovascular techniques and devices that are used in a variety of clinical scenarios for the management of hemorrhagic gastrointestinal emergencies. 关 键 词：UPPER GASTROINTESTINAL BLEEDING ENDOSCOPY ANGIOGRAPHY EMBOLIZATION Surgery
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