Transcatheter Hemostasis of Gastrointestinal Bleeding Using Modified Autogenous Clot

Bookstein, Joseph J.; Chlosta, Eugene M.; Foley, Dennis; Walter, Joseph F.

doi:10.1148/113.2.277

Cited by 144 publications

(44 citation statements)

References 15 publications

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“…The first description of angiographic diagnosis and treatment of gastrointestinal hemorrhage was published in 1974 [15]. The results of the initial attempts were associated with high recurrence rates and complications [15,16].…”

Section: Discussionmentioning

confidence: 99%

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Transarterial embolization in acute colonic bleeding: review of 11 years of experience and long-term results

Rossetti

Buchs

Bréguet

et al. 2012

Int J Colorectal Dis

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Background Lower gastrointestinal bleeding represents 20 % of all gastrointestinal bleedings. Interventional radiology has transformed the treatment of this pathology, but the long-term outcome after selective embolization has been poorly evaluated. The aim of this study is thus to evaluate the short-term and long-term outcomes after selective embolization for colonic bleeding.Methods From November 1998 to December 2010, all acute colonic embolizations for hemorrhage were retrospectively reviewed and analyzed. The risk factors for post-embolization ischemia were also assessed. Results Twenty-four patients underwent colonic embolization. There were 6 men and 18 women with a median age of 80 years (range, 42-94 years). The underlying etiologies included diverticular disease (41.9 %), post-polypectomy bleeding (16.7 %), malignancy (8.2 %), hemorrhoid (4.1 %), and angiodysplasia (4.1 %). In 23 patients, bleeding stopped (95.8 %) after selective embolization. One patient presented a recurrence of bleeding with hemorrhagic shock and required urgent hemorrhoidal ligature. Four patients required an emergent surgical procedure because of an ischemic event (16.7 %). One patient died of ileal ischemia (mortality, 4.1 %). The level of embolization and the length of hypoperfused colon after embolization were the only risk factors for emergent operation. Mean hospital stay was 18 days (range, 9-44 days). After a mean follow-up of 28.6 months (range, 4-108 months), no other ischemic events occurred. Conclusion In our series, selective transarterial embolization for acute colonic bleeding was clinically effective with a 21 % risk of bowel ischemia. The level of embolization and the length of the hypoperfused colon after embolization should be taken into consideration for emergent operation.

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Section: Discussionmentioning

confidence: 99%

“…The results of the initial attempts were associated with high recurrence rates and complications [15,16]. Significant advances in the embolization technique and devices (super-selective, microcatheters) and increased technical expertise have improved the adoption of this procedure for the treatment of lower gastrointestinal hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Transarterial embolization in acute colonic bleeding: review of 11 years of experience and long-term results

Rossetti

Buchs

Bréguet

et al. 2012

Int J Colorectal Dis

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“…The initial experimental and clinical work suggested that autologous clot embolization could stop bleeding, with early lysis of the clot and short intravascular persistence [10]. Early intraluminal clot lysis provides the opportunity to limit myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

Coronary vessel perforation during balloon angioplasty: A case report

Hadjimiltiades

Paraskevaides

Kazinakis

et al. 1998

Cathet. Cardiovasc. Diagn.

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“…Two years later, the first successful embolization using autogenous clot for lower gastrointestinal hemorrhage was reported (45). First used to guide surgical therapy,a dvancesi ni nterventional radiology have expandedt he useo fa ngiography from diagnosis to treatment of acute lGIB.…”

Section: Angiographymentioning

confidence: 99%

Acute Lower Gi Bleeding for the Acute Care Surgeon: Current Diagnosis and Management

2009

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AbstRAct:lower gastrointestinal bleeding is a common cause for hospital admission that results in significant morbidity and mortality. After initial resuscitation of the patient, the diagnosis and treatment of lower gastrointestinal bleeding remains achallenge for acute care surgeons. Identifying the source of bleeding can be difficult since many patients bleed intermittentlyorstopbleeding spontaneously.Itistherefore importantfor theacute care surgeon to be familiar with the different diagnostic and therapeutic modalities and their advantages and disadvantages in order to guide the management of the acutely bleeding patient. this review summarizes the current methods available for the diagnosis and treatment of acute lower gastrointestinal bleeding and proposes an algorithm for the management of these patients.

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Transcatheter Hemostasis of Gastrointestinal Bleeding Using Modified Autogenous Clot

Cited by 144 publications

References 15 publications

Transarterial embolization in acute colonic bleeding: review of 11 years of experience and long-term results

Transarterial embolization in acute colonic bleeding: review of 11 years of experience and long-term results

Coronary vessel perforation during balloon angioplasty: A case report

Acute Lower Gi Bleeding for the Acute Care Surgeon: Current Diagnosis and Management

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