Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature.

embolic agents gastrointestinal bleeding trans-arterial embolization

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
27 Oct 2021
Historique:
received: 12 08 2021
revised: 12 10 2021
accepted: 21 10 2021
entrez: 13 11 2021
pubmed: 14 11 2021
medline: 14 11 2021
Statut: epublish

Résumé

To report the safety and efficacy of trans-arterial embolization (TAE) for upper gastrointestinal bleeding (UGIB) and lower gastrointestinal bleeding (LGIB) due to different etiologies in 91 patients for ten years. A retrospective analysis of GIB treated between January 2010 and December 2020 was performed. TAE was performed using different embolic agents (coils, particles, glue, gelatin sponge, and EVOH-based agents). Technical success, secondary technical success, clinical success, and complications were evaluated. Technical success was achieved in 74/91 (81.32%) patients. Seventeen patients (18.68%) required re-intervention. Secondary technical success was achieved in all cases (100.0%). Clinical success was achieved in 81/91 patients (89.01%). No major complications were recorded; overall, minor complications occurred in 20/91 patients. TAE is a technically feasible and safe therapeutic option for patients with GIB from a known or blind anatomic source where endoscopic therapy has failed or is deemed unfeasible.

Identifiants

pubmed: 34768505
pii: jcm10214979
doi: 10.3390/jcm10214979
pmc: PMC8584454
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Federico Fontana (F)

Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.
School of Medicine and Surgery, Università degli Studi dell'Insubria, 21100 Varese, Italy.

Filippo Piacentino (F)

Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.
School of Medicine and Surgery, Università degli Studi dell'Insubria, 21100 Varese, Italy.

Christian Ossola (C)

School of Medicine and Surgery, Università degli Studi dell'Insubria, 21100 Varese, Italy.

Andrea Coppola (A)

Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.

Marco Curti (M)

School of Medicine and Surgery, Università degli Studi dell'Insubria, 21100 Varese, Italy.

Edoardo Macchi (E)

Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.

Giuseppe De Marchi (G)

Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.

Chiara Floridi (C)

Department of Radiology, University Hospital "Umberto I-Lancisi-Salesi", 60100 Ancona, Italy.

Anna Maria Ierardi (AM)

Department of Radiology, Foundation IRCCS Ca' Granda-Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.

Gianpaolo Carrafiello (G)

Department of Radiology, Foundation IRCCS Ca' Granda-Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.

Sergio Segato (S)

Gastroenterology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.

Giulio Carcano (G)

School of Medicine and Surgery, Università degli Studi dell'Insubria, 21100 Varese, Italy.
Surgery Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.

Massimo Venturini (M)

Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.
School of Medicine and Surgery, Università degli Studi dell'Insubria, 21100 Varese, Italy.

Classifications MeSH