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首页> 外文期刊>Vascular and endovascular surgery >Embolization of bleeding duodenal ulcer using amplatzer vascular plug II and hydrogel coils: case report.
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Embolization of bleeding duodenal ulcer using amplatzer vascular plug II and hydrogel coils: case report.

机译：使用amplatzer血管塞II和水凝胶线圈栓塞十二指肠溃疡出血：病例报告。

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摘要

PURPOSE: To present a case of upper gastrointestinal bleeding (UGIB) that was treated with percutaneous endovascular embolization using Amplatzer vascular plug and hydrogel coils after failed endoscopic treatment. CASE REPORT: A 78-year-old male was referred for endovascular treatment of massive recurrent UGIB from a duodenal ulcer. Attempts at endoscopic treatment were unsuccessful. Based on our knowledge of the site of the bleeder in the duodenum from prior endoscopy, we decided to empirically embolize the gastroduodenal artery (GDA) and the right gastroepiploic artery using a combination of coils (Azur peripheral hydrocoil; Terumo Medical Corporation, Somerset, New Jersey) and Amplatzer vascular plug II (AVP II; AGA Medical, Plymouth, Minnesota). CONCLUSION: We present this case of UGIB where effective, rapid, precise, and controlled embolization of the GDA was achieved using AVP II device in combination with coils. To our knowledge, the use of AVP II in embolization of GDA for treatment of emergent UGIB has not been described in the literature.
机译：目的：介绍一例上消化道出血（UGIB），经内镜治疗失败后，使用Amplatzer血管栓塞和水凝胶线圈经皮血管内栓塞治疗。病例报告：一名78岁的男性被转诊接受十二指肠溃疡大规模复发性UGIB的血管内治疗。内窥镜治疗未成功。根据我们对先前内窥镜检查中十二指肠出血部位的了解，我们决定使用线圈组合（Azur周边液压线圈; Terumo Medical Corporation，Somerset，新泽西岛）和Amplatzer血管塞II（AVP II; AGA Medical，明尼苏达州普利茅斯）。结论：我们介绍了UGIB的这种情况，其中使用AVP II装置与线圈组合实现了有效，快速，精确和受控的GDA栓塞。据我们所知，在文献中还没有描述过使用AVP II栓塞GDA来治疗急诊UGIB。

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