Ultraselective embolization using a 1.7-Fr catheter and soft bare coil for small intestinal bleeding

Koganemaru, Masamichi; Nonoshita, Masaaki; Iwamoto, Ryoji; Kuhara, Asako; Nabeta, Masakazu; Kusumoto, Masashi; Kugiyama, Tomoko; Nagata, Shuji; Abe, Toshi

doi:10.1080/13645706.2016.1192553

Cited by 9 publications

(6 citation statements)

References 18 publications

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“…Observable symptoms of a complication after embolization include unspecific abdominal pain and a rise in serum lactate levels 24 . Clinical management should include postinterventional monitoring of the patient with the measurement of lactate levels, although clinically inapparent ischemia of the mucosa is seen in the majority of cases 32 , 33 . Postinterventional monitoring after radiological therapy reveals re‐bleeding during the first 30 days in 15% of cases.…”

Section: Methodsmentioning

confidence: 99%

“…24 Clinical management should include postinterventional monitoring of the patient with the measurement of lactate levels, although clinically inapparent ischemia of the mucosa is seen in the majority of cases. 32,33 Postinterventional monitoring after radiological therapy reveals re-bleeding during the first 30 days in 15% of cases. Ten percent of patients needed a surgical intervention within 24 h after the procedure.…”

Section: Radiologic Therapymentioning

confidence: 99%

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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: Methodsmentioning

confidence: 99%

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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“…or smaller. [6][7][8][9] The triaxial system was previously shown to be useful for super-selective catheterization under various conditions. 5 In particular, it should be very effective for cases which definitely need super-selective catheterization, such as those with pseudoaneurysm, gastrointestinal bleeding, or type 2 endoleak after EVAR.…”

Section: Discussionmentioning

confidence: 99%

“…microcatheters with 0.010-in. electrically detachable coils has been reported in embolization for gastrointestinal bleeding, 7,8 for which the triaxial system was also shown to be useful. 11 Alterations in blood flow in TACE for HCC were performed in two cases in the present study.…”

Section: Discussionmentioning

confidence: 99%

Use of 0.014-in. pushable bare platinum coils in super-selective embolization through the 1.6-Fr. microcatheter of the triaxial system

Tsukahara

Shimohira

Nagai

et al. 2020

Acta Radiologica Open

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Background A triple-coaxial (triaxial) system, which consists of a small microcatheter, a large microcatheter, and a 4-Fr. catheter, has been reported to allow super-selective catheterization. A 1.6-Fr. microcatheter has recently become available as the small microcatheter for the triaxial system, in addition to 0.014-in. pushable bare platinum coils that may be introduced into the 1.6-Fr. microcatheter. Purpose The purpose of the present study was to evaluate the feasibility of 0.014-in. pushable bare platinum coils in embolization through the 1.6-Fr. microcatheter of the triaxial system. Material and Methods Between November 2015 and October 2019, 19 embolizations were performed on 18 patients, 9 males and 9 females with a median age of 77 years (range, 41–88 years), using 0.014-in. pushable bare platinum coils through the 1.6-Fr. microcatheter of the triaxial system. The technical success rate, clinical success rate, and complications associated with the procedure were assessed. Technical success was defined as the successful delivery and placement of 0.014-in. pushable bare platinum coils, and clinical success as the immediate postembolic complete cessation of blood flow confirmed by digital subtraction angiography. Results Eighty-four 0.014-in. pushable bare platinum coils were delivered and 19 arteries were successfully embolized. The median number of 0.014-in. pushable bare platinum coils was 4 (range, 1–12). The technical success rate was 100% (84/84) and the clinical success rate was also 100% (19/19). There were no complications associated with the procedures. Conclusion The use of 0.014-in. pushable bare platinum coils in super-selective embolization through the 1.6-Fr. microcatheter of the triaxial system appears to be feasible and safe.

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“…2,3 With currently available catheter technology and embolic agents, it is possible to safely use TAE in all body regions and control nearly any form of acute bleeding. [8][9][10] Nevertheless, performing TAE requires some technical skills, experience, and serenity of the interventional radiologist, especially when patients have profuse bleeding and/or are in poor condition. Knowing the different types of hemorrhages and their frequencies and awareness of risk factors are crucial in establishing the indication for TAE and making a reasonable estimate of the chances of success (both technically and clinically).…”

mentioning

confidence: 99%

Transcatheter arterial embolization of acute bleeding as 24/7 service: predictors of outcome and mortality

Powerski

Meyer-Wilmes

Omari

et al. 2018

The British Journal of Radiology

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Ultraselective embolization using a 1.7-Fr catheter and soft bare coil for small intestinal bleeding

Abstract: Embolization with 0.010-inch coils using a 1.7-Fr catheter and catheterization of the vasa recta of bleeding vessels was effective and safe for treating small intestinal bleeding.

Cited by 9 publications

References 18 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

Use of 0.014-in. pushable bare platinum coils in super-selective embolization through the 1.6-Fr. microcatheter of the triaxial system

Transcatheter arterial embolization of acute bleeding as 24/7 service: predictors of outcome and mortality

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