Endoscopic and Angiographic Diagnosis and Management of a Gastric Arteriovenous Malformation

Jeffrey B. McCrary , Shou-jiang Tang , Ruonan Wu , Sajneet Khangura , Christina Marks , Bhavika Dave
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引用次数: 4

Abstract

Introduction

Gastric arteriovenous malformation (AVM) is an uncommon cause of upper gastrointestinal (GI) bleeding.

Methods and results

We describe a case of gastric AVM which was diagnosed endoscopically and successfully managed by endoclip application and percutaneous transarterial coil embolization.

Conclusions

We propose that these two minimally invasive technologies can be used to manage AVM in the gut: endoscopic therapy to control luminal bleeding and interventional radiology to define the full extent of the malformation and to decrease arterial pressure and flow to the point that hemostasis can occur, without creating symptomatic ischemia.

胃动静脉畸形的内镜和血管造影诊断和治疗
胃动静脉畸形(AVM)是一种罕见的上消化道出血原因。方法与结果我们报告了1例经内镜诊断的胃动静脉畸形,并成功地应用经皮经动脉线圈栓塞治疗。结论我们建议这两种微创技术可用于治疗肠道AVM:内镜治疗控制腔内出血,介入放射检查确定畸形的全部程度,降低动脉压力和血流到可以止血的程度,而不会产生症状性缺血。
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