Transcatheter Embolization for Acute Lower Gastrointestinal Hemorrhage

Evangelista, Peter; Hallisey, Michael J.

doi:10.1016/s1051-0443(07)61612-1

Cited by 89 publications

(47 citation statements)

References 24 publications

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“…21 Coils and PVA particles larger than 250 mm appear to be most suitable for LGIB. [28][29][30] Vasopressin infusions used earlier for LGIB are now considered inferior to the modern catheter technique. 29 Walker et al achieved success rates of 80%-90% with arterial embolization.…”

Section: Radiologic Therapymentioning

confidence: 99%

Endoscopic and angiographic management of lower gastrointestinal bleeding: Review of the published literature

Werner

Manner

Nguyen-Tat

et al. 2017

United European Gastroenterology Journal

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Lower gastrointestinal bleeding is common and occurs often in elderly patients. In rare cases it is associated with hemorrhagic shock. A large number of such bleedings, which are often caused by colon diverticula, subside spontaneously. Alternatively they can be treated by endoscopic procedures successfully. Given the aging population of our society, the rising incidence of lower gastrointestinal tract bleeding and new anticoagulant therapies, some of the bleedings tend to be severe. Colonoscopy is the established standard procedure for the diagnosis and treatment of lower gastrointestinal bleeding. However, a small number of patients experience re-bleeding or shock; their bleeding does not resolve spontaneously and cannot be treated successfully by endoscopic procedures. In such patients, interventional radiology is very useful for the detection of bleeding and the achievement of hemostasis. Against this background we performed a literature search using PubMed to identify all relevant studies focused on the endoscopic and radiological management of lower gastrointestinal bleeding and present recent conclusions on the subject.

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Section: Radiologic Therapymentioning

confidence: 99%

Endoscopic and angiographic management of lower gastrointestinal bleeding: Review of the published literature

Werner

Manner

Nguyen-Tat

et al. 2017

United European Gastroenterology Journal

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“…Difficulties in the precise deployment and incomplete control of the distal blood flow can be attributed to clinical failure. In some cases, supplementary embolization using PVA particles or a gelatin sponge may be necessary to consolidate the coilembolized artery after microcoil deployment (2,(29)(30)(31)(32). In our series, a gelatin sponge was used as the supplementary embolic material in 16 patients.…”

Section: Discussionmentioning

confidence: 93%

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

et al. 2016

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“…4,19,20 Transcatheter embolization has not been widely accepted as the primary therapy for acute gastrointestinal bleeding because of concerns about producing irreversible intestinal ischemia particularly in the small bowel. 21 The relative lack of a rich vascular supply to the lower gastrointestinal tract is associated with a greater risk of ischemia than that in the upper gastrointestinal tract. However, transcatheter embolization remains a valuable technique for the control of lower gastrointestinal hemorrhage when endoscopic therapies fail.…”

Section: Discussionmentioning

confidence: 99%

Small-Bowel Bleeding With Laparoscopic Resection Guided by Microcoil Placement

Dobradin

Henson²,

Mansilla

et al. 2014

CRSLS

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Introduction: Small-bowel massive bleeding presents a complex diagnostic and therapeutic problem. Angiography can be used for localization and embolization of the overt gastrointestinal bleeding site. Because of the complex anastomotic network of blood vessels supplying the small intestine, precise identification is complicated and surgical resection of the bleeding site is difficult. We describe angiography-directed preoperative microcoil placement for a localization of the bleeding site using intraoperative fluoroscopy during laparoscopic small-bowel resection.

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Transcatheter Embolization for Acute Lower Gastrointestinal Hemorrhage

Cited by 89 publications

References 24 publications

Endoscopic and angiographic management of lower gastrointestinal bleeding: Review of the published literature

Endoscopic and angiographic management of lower gastrointestinal bleeding: Review of the published literature

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

Small-Bowel Bleeding With Laparoscopic Resection Guided by Microcoil Placement

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