Fatal acute pulmonary embolism following endoscopic cyanoacrylate injection for gastric fundal varices
| Journal | Volume 87 - 2024 |
| Issue | Fasc.4 - Case reports |
| Author(s) | C. Harth 1, P. De Mulder 2, S. Raevens 3, K. Ferdinande 3, P. Hindryckx 3, A. Geerts 3, H. Van Vlierberghe 3, P. Vanlangenhove 1, X. Verhelst 3 |
| Full article |
 PAGES 531-534 VIEW FREE PDF |
| DOI | 10.51821/87.4.13020 |
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Affiliations: (1) Department of Vascular and Interventional Radiology, Ghent University Hospital , Ghent, Belgium
(2) Department of Internal Medicine, VITAZ Sint Niklaas, Sint-Niklaas, Belgium (3) Department of gastroenterology, Ghent University Hospital, Ghent, Belgium |
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Acute gastric variceal bleeding is a rare but serious complication of portal hypertension. Initial therapy for bleeding gastric varices focuses on acute hemostasis. In this regard, endoscopic cyanoacrylate injection (ECI) is the first-line approach. Cyanoacrylate diluted with Lipiodol acts as a tissue adhesive that polymerizes on contact with blood. Glue-induced pulmonary embolism is a very rare but severe complication of ECI. This paper describes a case of fatal glue pulmonary embolism during ECI for prevention of bleeding from gastric fundal varices in a patient with polycythemia vera and the presence of portosystemic shunts. Keywords: endoscopic sclerotherapy injection, gastric varices, pulmonary embolis, polycythemia vera. |
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© Acta Gastro-Enterologica Belgica. PMID 39745042 |
