Gastric Perforation Following Prophylactic Embolization of Right Gastric and Gastroduodenal Arteries Prior to Selective Internal Radiation Therapy

Pratik A Shukla; Jitesh Ahuja; Vineel Kurli; Rajesh I Patel; Peter S Kozuch

doi:10.1007/s00270-015-1139-7

Gastric Perforation Following Prophylactic Embolization of Right Gastric and Gastroduodenal Arteries Prior to Selective Internal Radiation Therapy

Cardiovasc Intervent Radiol. 2015 Dec;38(6):1645-8. doi: 10.1007/s00270-015-1139-7. Epub 2015 Jun 13.

Authors

Pratik A Shukla¹, Jitesh Ahuja², Vineel Kurli², Rajesh I Patel³, Peter S Kozuch⁴

Affiliations

¹ Division of Vascular and Interventional Radiology, Department of Radiology, Beth Israel Medical Center, First Avenue at Sixteenth Street, New York, 10003, USA. pratik.a.shukla@gmail.com.
² Division of Vascular and Interventional Radiology, Department of Radiology, Beth Israel Medical Center, First Avenue at Sixteenth Street, New York, 10003, USA.
³ Division of Vascular and Interventional Radiology, Department of Radiology, Beth Israel Medical Center, First Avenue at Sixteenth Street, New York, 10003, USA. rapatel@chpnet.org.
⁴ Division of Medical Oncology, Department of Medicine, Mount Sinai Beth Israel Medical Center, First Avenue at Sixteenth Street, New York, 10010, USA.

PMID: 26071106
DOI: 10.1007/s00270-015-1139-7

Abstract

Prophylactic gastroduodenal artery (GDA) and right gastric artery (RGA) embolization for prevention of gastric ulceration in patients with hepatic metastases from colorectal cancer undergoing Selective Internal Radiation Therapy (SIRT) are relatively safe. Herein, we present a case of gastric perforation following prophylactic embolization of the GDA and RGA for SIRT in a 43-year-old male with sigmoid colon adenocarcinoma and multiple hepatic metastases.

Keywords: Colorectal liver metastases; Gastric perforation; Gastroduodenal artery (GDA); Prophylactic coil embolization; Radioembolization; Right gastric artery (RGA); Selective Internal Radiation Therapy (SIRT).

Publication types

Case Reports

MeSH terms

Abdominal Injuries / diagnostic imaging
Abdominal Injuries / surgery*
Adult
Brachytherapy*
Colorectal Neoplasms / pathology*
Duodenum / blood supply*
Embolization, Therapeutic / adverse effects*
Gastrectomy
Humans
Liver Neoplasms / secondary*
Male
Radiography
Stomach / blood supply
Stomach / injuries*
Stomach / surgery
Treatment Outcome