Clip and Coil: A Novel Safe Strategy in Managing Fundal Gastric Varices With a Large Spontaneous Portosystemic Shunt
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 31
- 试验地点
- 1
- 主要终点
- The occurrence of ectopic embolization
研究概览
简要总结
Endoscopic ultrasound (EUS)-guided coil deployment is a promising technique for the endoscopic management of gastric varices. However, coil migration may occur in patients with large drainage collaterals. This study aimed to evaluate the safety and efficacy of using clips in combination with coils for treating gastric varices. In this retrospective study, clips were placed before EUS-guided coil deployment in each patient with gastric varices and a large spontaneous portosystemic shunt. The pressure of gastric varices was directly measured by puncturing the varix with a needle connected to a pressure transducer, before and after clip placement. The occurrence of ectopic embolization or coil migration was recorded.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •presence of a spontaneous portosystemic shunt, including gastrorenal or splenorenal collateral shunts;
- •use of both clips and coils during endoscopic intervention.
排除标准
- •The spontaneous portosystemic shunt was narrow (diameter < 1.0 cm).
结局指标
主要结局
The occurrence of ectopic embolization
时间窗: Within the day of the endoscopic intervention (after the operation)
次要结局
- The occurrence of coil migration(Within the day of the endoscopic intervention (after the operation))