Iranian Journal of Radiology

Published by: Kowsar

Superselective Transarterial Embolization for Lower Gastrointestinal Bleeding: An Analysis of its Effectiveness and Safety

Tae-Hoon Nam 1 , Sung Bum Cho 1 , * , Gyoung Min Kim 1 , 2 , Tae-Seok Seo 3 , Hwan Hoon Chung 4 , Seung Hwa Lee 4 , Yun Hwan Kim 1 and Young Kwon Cho 5
Authors Information
1 Department of Radiology, Anam Hospital, Korea University, Seoul, Republic of Korea
2 Department of Radiology, Severance Hospital, Yonsei University, Seoul, Republic of Korea
3 Department of Radiology, Guro Hospital, Korea University, Seoul, Republic of Korea
4 Department of Radiology, Ansan Hospital, Korea University, Ansan, Republic of Korea
5 Department of Radiology, Kangdong Seong-Sim Hospital, Hallym University, Seoul, Republic of Korea
Article information
  • Iranian Journal of Radiology: January 2017, 14 (1); e13465
  • Published Online: August 9, 2016
  • Article Type: Research Article
  • Received: May 20, 2015
  • Revised: July 1, 2015
  • Accepted: July 15, 2015
  • DOI: 10.5812/iranjradiol.30080

To Cite: Nam T, Cho S B, Min Kim G, Seo T, Hoon Chung H, et al. Superselective Transarterial Embolization for Lower Gastrointestinal Bleeding: An Analysis of its Effectiveness and Safety, Iran J Radiol. 2017 ; 14(1):e13465. doi: 10.5812/iranjradiol.30080.

Abstract
Copyright © 2016, Tehran University of Medical Sciences and Iranian Society of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
Footnotes
References
  • 1. Lhewa DY, Strate LL. Pros and cons of colonoscopy in management of acute lower gastrointestinal bleeding. World J Gastroenterol. 2012; 18(11): 1185-90[DOI][PubMed]
  • 2. Kickuth R, Rattunde H, Gschossmann J, Inderbitzin D, Ludwig K, Triller J. Acute lower gastrointestinal hemorrhage: minimally invasive management with microcatheter embolization. J Vasc Interv Radiol. 2008; 19(9): 1289-96 e2[DOI][PubMed]
  • 3. Strate LL, Ayanian JZ, Kotler G, Syngal S. Risk factors for mortality in lower intestinal bleeding. Clin Gastroenterol Hepatol. 2008; 6(9): 1004-10[DOI][PubMed]
  • 4. Lanas A, Garcia-Rodriguez LA, Polo-Tomas M, Ponce M, Quintero E, Perez-Aisa MA, et al. The changing face of hospitalisation due to gastrointestinal bleeding and perforation. Aliment Pharmacol Ther. 2011; 33(5): 585-91[DOI][PubMed]
  • 5. Baron JA, Senn S, Voelker M, Lanas A, Laurora I, Thielemann W, et al. Gastrointestinal adverse effects of short-term aspirin use: a meta-analysis of published randomized controlled trials. Drugs R D. 2013; 13(1): 9-16[DOI][PubMed]
  • 6. Casado Arroyo R, Polo-Tomas M, Roncales MP, Scheiman J, Lanas A. Lower GI bleeding is more common than upper among patients on dual antiplatelet therapy: long-term follow-up of a cohort of patients commonly using PPI co-therapy. Heart. 2012; 98(9): 718-23[DOI][PubMed]
  • 7. Green BT, Rockey DC, Portwood G, Tarnasky PR, Guarisco S, Branch MS, et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol. 2005; 100(11): 2395-402[DOI][PubMed]
  • 8. Jensen DM, Machicado GA, Jutabha R, Kovacs TO. Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med. 2000; 342(2): 78-82[DOI][PubMed]
  • 9. Darcy M. Treatment of lower gastrointestinal bleeding: vasopressin infusion versus embolization. J Vasc Interv Radiol. 2003; 14(5): 535-43[PubMed]
  • 10. Schuetz A, Jauch KW. Lower gastrointestinal bleeding: therapeutic strategies, surgical techniques and results. Langenbecks Arch Surg. 2001; 386(1): 17-25[PubMed]
  • 11. Shin JH. Recent update of embolization of upper gastrointestinal tract bleeding. Korean J Radiol. 2012; 13 Suppl 1-9[DOI][PubMed]
  • 12. Rosenkrantz H, Bookstein JJ, Rosen RJ, Goff W2, Healy JF. Postembolic colonic infarction. Radiology. 1982; 142(1): 47-51[DOI][PubMed]
  • 13. Valek V, Husty J. Quality improvement guidelines for transcatheter embolization for acute gastrointestinal nonvariceal hemorrhage. Cardiovasc Intervent Radiol. 2013; 36(3): 608-12[DOI][PubMed]
  • 14. Brown DB, Nikolic B, Covey AM, Nutting CW, Saad WE, Salem R, et al. Quality improvement guidelines for transhepatic arterial chemoembolization, embolization, and chemotherapeutic infusion for hepatic malignancy. J Vasc Interv Radiol. 2012; 23(3): 287-94[DOI][PubMed]
  • 15. Baum S, Nusbaum M, Blakemore WS, Finkelstein AK. The preoperative radiographic demonstration of intra-abdominal bleeding from undetermined sites by percutaneous selective celiac and superior mesenteric arteriography. Surgery. 1965; 58(5): 797-805[PubMed]
  • 16. Teng HC, Liang HL, Lin YH, Huang JS, Chen CY, Lee SC, et al. The efficacy and long-term outcome of microcoil embolotherapy for acute lower gastrointestinal bleeding. Korean J Radiol. 2013; 14(2): 259-68[DOI][PubMed]
  • 17. Kwak HS, Han YM, Lee ST. The clinical outcomes of transcatheter microcoil embolization in patients with active lower gastrointestinal bleeding in the small bowel. Korean J Radiol. 2009; 10(4): 391-7[DOI][PubMed]
  • 18. Tan KK, Wong D, Sim R. Superselective embolization for lower gastrointestinal hemorrhage: an institutional review over 7 years. World J Surg. 2008; 32(12): 2707-15[DOI][PubMed]
  • 19. d'Othee BJ, Surapaneni P, Rabkin D, Nasser I, Clouse M. Microcoil embolization for acute lower gastrointestinal bleeding. Cardiovasc Intervent Radiol. 2006; 29(1): 49-58[DOI][PubMed]
  • 20. Funaki B, Kostelic JK, Lorenz J, Ha TV, Yip DL, Rosenblum JD, et al. Superselective microcoil embolization of colonic hemorrhage. AJR Am J Roentgenol. 2001; 177(4): 829-36[DOI][PubMed]
  • 21. Bandi R, Shetty PC, Sharma RP, Burke TH, Burke MW, Kastan D. Superselective arterial embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol. 2001; 12(12): 1399-405[PubMed]
  • 22. Hur S, Jae HJ, Lee M, Kim HC, Chung JW. Safety and efficacy of transcatheter arterial embolization for lower gastrointestinal bleeding: a single-center experience with 112 patients. J Vasc Interv Radiol. 2014; 25(1): 10-9[DOI][PubMed]
  • 23. Yap FY, Omene BO, Patel MN, Yohannan T, Minocha J, Knuttinen MG, et al. Transcatheter embolotherapy for gastrointestinal bleeding: a single center review of safety, efficacy, and clinical outcomes. Dig Dis Sci. 2013; 58(7): 1976-84[DOI][PubMed]
  • 24. Weldon DT, Burke SJ, Sun S, Mimura H, Golzarian J. Interventional management of lower gastrointestinal bleeding. Eur Radiol. 2008; 18(5): 857-67[DOI][PubMed]
  • 25. Waugh J, Madan A, Sacharias N, Thomson K. Embolization for major lower gastrointestinal haemorrhage: five-year experience. Australas Radiol. 2004; 48(3): 311-7[DOI][PubMed]
  • 26. Foutch PG. Colonic angiodysplasia. Gastroenterologist. 1997; 5(2): 148-56[PubMed]
  • 27. Foutch PG. Angiodysplasia of the gastrointestinal tract. Am J Gastroenterol. 1993; 88(6): 807-18[PubMed]
  • 28. Hongsakul K, Pakdeejit S, Tanutit P. Outcome and predictive factors of successful transarterial embolization for the treatment of acute gastrointestinal hemorrhage. Acta Radiol. 2014; 55(2): 186-94[DOI][PubMed]
  • 29. Bulakbasi N, Kurtaran K, Ustunsoz B, Somuncu I. Massive lower gastrointestinal hemorrhage from the surgical anastomosis in patients with multiorgan trauma: treatment by subselective embolization with polyvinyl alcohol particles. Cardiovasc Intervent Radiol. 1999; 22(6): 461-7[PubMed]
  • 30. Evangelista PT, Hallisey MJ. Transcatheter embolization for acute lower gastrointestinal hemorrhage. J Vasc Interv Radiol. 2000; 11(5): 601-6[PubMed]
  • 31. Kuo WT, Lee DE, Saad WE, Patel N, Sahler LG, Waldman DL. Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol. 2003; 14(12): 1503-9[PubMed]
  • 32. Peck DJ, McLoughlin RF, Hughson MN, Rankin RN. Percutaneous embolotherapy of lower gastrointestinal hemorrhage. J Vasc Interv Radiol. 1998; 9(5): 747-51[PubMed]
  • 33. Lundgren JA, Matsushima K, Lynch FC, Frankel H, Cooney RN. Angiographic embolization of nonvariceal upper gastrointestinal bleeding: predictors of clinical failure. J Trauma. 2011; 70(5): 1208-12[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments