PDF(Pubmed)
Abstract：
Endoscopic ultrasound (EUS)-guided coil deployment (EUS-coiling) has been newly developed for treating isolated gastric varices (iGV). This report describes three cases of EUS-coiling for iGV using a 0.035-inch hydrocoil (Azur; Terumo Corp., Tokyo, Japan). When used for EUS-coiling, this hydrocoil provides the following benefits: Its electrically detachable system allows pull back. It has smooth and dense deployment. Moreover, it has a strong blood-flow blocking effect because of its long length and large diameter with internal swelling functions of the hydrogel. Technical success of coiling was achieved in all cases. After coiling, additional treatments such as cyanoacrylate and sclerosant injection were performed as deemed appropriate. All iGVs were obliterated successfully. No adverse event occurred during the procedure or during the mean follow-up of six months. Our findings indicate that this 0.035-inch hydrocoil can be used to treat iGV safely and effectively.
摘要：
新开发了内窥镜超声（EUS）引导的线圈展开（EUS线圈），用于治疗孤立的胃静脉曲张（iGV）。本报告描述了使用0.035英寸水力盘管（Azur；TerumoCorp.,东京,日本）。当用于EUS卷取时，这种水力线圈提供了以下好处：它的电可拆卸系统允许拉回。它有平稳和密集的部署。此外，它具有很强的血流阻断作用，因为它的长度长，直径大，具有水凝胶的内部膨胀功能。在所有情况下都实现了卷绕的技术成功。卷绕后，在认为适当时进行其他治疗,如氰基丙烯酸酯和硬化剂注射.所有iGV均已成功消除。在手术过程中或平均随访6个月期间未发生不良事件。我们的发现表明，这种0.035英寸的水力线圈可用于安全有效地治疗iGV。
