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KMID : 0828520080120040246
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Journal of the Korean Geriatrics Society
2008 Volume.12 No. 4 p.246 ~ p.250
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Splenic Infarction, and Common Hepatic Artery and Pulmonary Emboli after Histoacrylⓡ (N-butyl-2-cyanoacrylate) Injection for Control of Variceal Bleeding
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Nam Kee-Suk
Nam Seung-Woo
Chung Hyun-Il
Choi Kwang-Joon
Kwon Hyeok-Choon
Park Sang-Min
Yang Seong-Uk
Youn Jou-Wha
Lee Keun-Sook
Kwak Dong-Myoung
Choi Han-Seop
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Abstract
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Bleeding from esophageal and gastric varices is a life-threatening com plication for patients with liver cirrhosis.
Endoscopic injection of Histoacrylⓡ (N -butyl-2-cyanoacrylate) has been reported to be an effective therapy for variceal bleeding; however, distal embolization of unwanted areas has been described in some cases with a fatal outcome. A change in the rationale of treatment of variceal bleeding in patients with liver cirrhosis was not advocated because of the infrequency of such cases. We report two cases of splenic infarction with celiac trunk and pulmonary emboli as serious complications of Histoacrylⓡ injection.
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KEYWORD
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Histoacrylⓡ (N-butyl-2-cyanoacrylate), Splenic infarction, Pulmonary embolism
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