Efficacy and safety of transcatheter arterial embolization for active arterial esophageal bleeding: a single-center experience

Alrashidi, Ibrahim; Kim, Tae-Hyung; Shin, Ji Hoon; Alreshidi, Meshael; Park, Min‐Ho; Jang, Eun Bee

doi:10.5152/dir.2021.20253

Cited by 4 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Transcatheter arterial embolization (TAE) is the mainstay of treatment for acute major hemorrhage [ 1 , 2 , 3 ]. A multitude of conditions, including trauma, tumors, iatrogenic injuries, and coagulation disorders, can cause major acute bleeding and may benefit from TAE [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

A Multicenter Retrospective Cohort Study Evaluating the Clinical Outcomes of Patients with Coagulopathy Undergoing Transcatheter Arterial Embolization (TAE) for Acute Non-Neurovascular Bleeding

Minici,

Fontana,

Venturini

et al. 2023

Medicina

View full text Add to dashboard Cite

Background and Objectives: Transcatheter arterial embolization (TAE) is the mainstay of treatment for acute major hemorrhage, even in patients with coagulopathy and spontaneous bleeding. Coagulopathy is associated with worsening bleeding severity and higher mortality and clinical failure rates. Furthermore, some unanswered questions remain, such as the definition of coagulopathy, the indication for TAE or conservative treatment, and the choice of embolic agent. This study aims to assess the efficacy and safety of TAE for spontaneous non-neurovascular acute bleeding in patients with coagulopathy. Materials and Methods: This study is a multicenter analysis of retrospectively collected data of consecutive patients with coagulopathy who had undergone, from January 2018 to May 2023, transcatheter arterial embolization for the management of spontaneous hemorrhages. Results: During the study interval (January 2018–May 2023), 120 patients with coagulopathy underwent TAE for spontaneous non-neurovascular acute bleeding. The abdominal wall was the most common bleeding site (72.5%). The most commonly used embolic agent was polyvinyl alcohol (PVA) particles or microspheres (25.0%), whereas coils and gelatin sponge together accounted for 32.5% of the embolic agents used. Technical success was achieved in all cases, with a 92.5% clinical success rate related to 9 cases of rebleeding. Complications were recorded in 12 (10%) patients. Clinical success was significantly better in the group of patients who underwent correction of the coagulopathy within 24 h of TAE. Conclusions: Transcatheter arterial embolization (TAE) is effective and safe for the management of acute non-neurovascular bleeding in patients with coagulopathy. Correction of coagulopathy should not delay TAE and vice versa, as better clinical outcomes were noted in the subgroup of patients undergoing correction of coagulopathy within 24 h of TAE.

show abstract

Section: Introductionmentioning

confidence: 99%

A Multicenter Retrospective Cohort Study Evaluating the Clinical Outcomes of Patients with Coagulopathy Undergoing Transcatheter Arterial Embolization (TAE) for Acute Non-Neurovascular Bleeding

Minici,

Fontana,

Venturini

et al. 2023

Medicina

View full text Add to dashboard Cite

show abstract

“…Several studies have recently shown the safety and efficacy of TAE with the use of advanced tools and techniques for UGIB and LGIB, but to our knowledge, most of them have included a limited number of patients [ 2 , 4 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. Coil embolization is the most used technique worldwide to treat GIB, avoiding bowel ischemic complications [ 2 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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

Fontana

Piacentino

Ossola

et al. 2021

JCM

View full text Add to dashboard Cite

Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

show abstract

“…Most bleeding is intraluminal [1,2], which is readily diagnosed during the procedure, but intraabdominal hemorrhage is extremely rare and may occur as a delayed event. Herein, we report a case of intra-abdominal hemorrhage associated with an ERCPrelated procedure that was successfully treated by transcatheter arterial embolisation (TAE) [3] (▶ Video 1). An 80-year-old man with bile leakage was due to undergo endoscopic nasobiliary drainage (ENBD) (▶ Fig.…”

mentioning

confidence: 99%

Intra-abdominal haemorrhage following an endoscopic retrograde cholangiopancreatography-related procedure: a rare complication

et al. 2023

View full text Add to dashboard Cite

Efficacy and safety of transcatheter arterial embolization for active arterial esophageal bleeding: a single-center experience

Cited by 4 publications

References 21 publications

A Multicenter Retrospective Cohort Study Evaluating the Clinical Outcomes of Patients with Coagulopathy Undergoing Transcatheter Arterial Embolization (TAE) for Acute Non-Neurovascular Bleeding

A Multicenter Retrospective Cohort Study Evaluating the Clinical Outcomes of Patients with Coagulopathy Undergoing Transcatheter Arterial Embolization (TAE) for Acute Non-Neurovascular Bleeding

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

Intra-abdominal haemorrhage following an endoscopic retrograde cholangiopancreatography-related procedure: a rare complication

Contact Info

Product

Resources

About