Transradial left gastric artery embolization to treat severe obesity: A pilot study
Catheterization and Cardiovascular Interventions Oct 10, 2018
Pirlet C, et al. - In seven severely obese male patients (mean age 48 ± 7 years) referred for diagnostic coronary angiography, with mean baseline weight 160 ± 27 kg and body mass index 52 ± 8 kg/m2, researchers assessed the feasibility, safety and efficacy of percutaneous distal embolization of the left gastric artery (LGA) using a transradial approach. Using 5Fr catheters, 300–500 μm polyvinyl alcohol particles were successfully injected, and all distal LGA were occluded at the end of procedures. Mild transient epigastric discomfort, which resolved with proton pump inhibitors, was reported by 6 patients. The estimated average weight loss at 2 months, 6 months and up to 12 months was 7 ± 6 kg, 6 ± 12 kg and 13 ± 17 kg, respectively. Based on the findings, percutaneous transradial LGA embolization appeared to be a promising technique to reduce the obesity burden.
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