scholarly journals 3:54 PM Abstract No. 370 Selective transcatheter arterial embolization for acute gastrointestinal bleeding: single-center comparison of 30-day outcomes of N-butyl-2-cyanoacrylate glue versus coil embolization

2020 ◽  
Vol 31 (3) ◽  
pp. S167-S168
Author(s):  
D. Goldman ◽  
J. Watchmaker ◽  
B. Marinelli ◽  
V. Bishay ◽  
K. Garcia-Reyes ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Transcatheter Arterial Embolization ◽  
Coil Embolization ◽  
Arterial Embolization ◽  
Single Center ◽  
Cyanoacrylate Glue ◽  
Acute Gastrointestinal Bleeding

scholarly journals Successful Transcatheter Arterial Embolization Using N-Butyl-2-Cyanoacrylate as a Treatment for Refractory Inferior Epigastric Artery Pseudoaneurysm Accompanied by an Enterocutaneous Fistula: A Case Report

2021 ◽  
Vol 18 (2) ◽  
Author(s):  
Myung Won Song ◽  
Chan Park ◽  
Hyoung Ook Kim ◽  
Byung Chan Lee
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Coil Embolization ◽  
Therapeutic Option ◽  
Enterocutaneous Fistula ◽  
Treatment Options ◽  
Arterial Embolization ◽  
Thrombin Injection ◽  
Inferior Epigastric Artery ◽  
Artery Pseudoaneurysm ◽  
Epigastric Artery

: Inferior epigastric artery (IEA) pseudoaneurysms are well-known postoperative abdominal complications, which often require proper treatment. Treatment options include surgical ligation, transcatheter embolization, and thrombin injection. Here, we report a rare case of an IEA pseudoaneurysm, accompanied by a postsurgical enterocutaneous fistula. The pseudoaneurysm relapsed after transcatheter coil embolization and percutaneous thrombin injection; it was completely occluded by transcatheter arterial embolization using n-butyl-2-cyanoacrylate. The present case shows that a coexisting enterocutaneous fistula can affect the unresponsiveness of patients with IEA pseudoaneurysm to widely accepted treatments, such as coil embolization and thrombin injection, by creating an inflammatory environment. In such cases, repeated therapeutic trials may be required. Transcatheter arterial embolization using n-butyl-2-cyanoacrylate can be a feasible therapeutic option for patients with refractory IEA pseudoaneurysm, accompanied by an enterocutaneous fistula.

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