OMED Video Library - Professor Mostafa, Center of Excellence in Cairo, Egypt, demonstrates the technique of injection of histoacryl for treatment of gastric varices

• Professor Mostafa, Center of Excellence in Cairo, Egypt, demonstrates the technique of injection of histoacryl for treatment of gastric varices.

Professor Mostafa, Center of Excellence in Cairo, Egypt, demonstrates the technique of injection of histoacryl for treatment of gastric varices. Dr. Richard Kozarek discusses the various options for therapy of this type of varices. In the video, a large gastric varix is shown, and histoacryl is injected directly into the varix. Lipiodol is injected immediately after histoacryl in order to prevent the glue from obliterating the channel in the catheter. Following this, water is flushed through the system. Soon after injection, the varix is pierced with the injector needle to see whether bleeding occurs. If there is no bleeding, it is assumed that the varix is obliterated.