scholarly journals Superselective Transcatheter Arterial Embolization in the Treatment of Angiodysplasia

2019 ◽  
Vol 12 ◽  
pp. 117954761984258 ◽  
Author(s):  
Túlio Fabiano de Oliveira Leite ◽  
Osvaldo Ignacio Pereira
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Mesenteric Artery ◽  
Arterial Embolization ◽  
The Elderly ◽  
Lower Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Hemorrhage ◽  
Significant Morbidity ◽  
Common Cause ◽  
Safety And Efficacy ◽  
Upper Gastrointestinal

Acute nonvariceal upper gastrointestinal hemorrhage is a frequent condition associated with significant morbidity and mortality. Angiodysplasia is a common cause of bleeding in the gastrointestinal tract in the elderly. This case report discusses about a 75-year-old woman clinically stable with melena for 2 years due to arteriovenous fistula of upper mesenteric artery branches without adequate clinical and therapeutic treatment. The goal of this article is to report the safety and efficacy of superselective transcatheter arterial embolization with coils in treating lower gastrointestinal bleeding caused by angiodysplasia that was unresponsive to internal medicine treatment and enteroscopy management.

scholarly journals Evaluation of Transcatheter Arterial Embolization in Treating Gastrointestinal Bleeding Due to Angiodysplasia: A Retrospective Study on Twelve Cases

2020 ◽  
Vol 17 (2) ◽  
Author(s):  
Qing Zhao ◽  
Jianxiong You ◽  
Jingbing Wang ◽  
Xindong Fan
Keyword(s):  
Gastrointestinal Bleeding ◽  
Transcatheter Arterial Embolization ◽  
Endoscopic Therapy ◽  
Arterial Embolization ◽  
Endoscopic Examination ◽  
Poly Vinyl Alcohol ◽  
Common Cause ◽  
Safety And Efficacy ◽  
One Year

Background: Angiodysplasia (AD) is a common cause of otherwise unexplained gastrointestinal bleeding and anemia and it increases in frequency with aging. Objectives: To investigate the safety and efficacy of transcatheter arterial embolization (TAE) in treating gastrointestinal bleeding caused by angiodysplasia. Patients and Methods: A total of 12 patients (five men, seven women; mean age: 50 ± 18 years; range: 31 - 82 years) with gastrointestinal bleeding, who had failed after endoscopic therapy and were not eligible for surgery, were treated via TAE. The presentations of patients included hematemesis (n = 2), melena (n = 7), and hematochezia (n = 5). The details of procedures and follow-up records were reviewed. Results: The procedures of TAE were performed using poly vinyl alcohol particles and/or coils. The procedures were achieved and the hemorrhage was controlled in all cases. In three patients, the small AD lesions were not found during the first session of angiography, but were instead detected on the repeated angiography conducted one week later. All the patients were discharged without any severe complications. No rebleeding occurred within 30 days following the embolization. Hemorrhage recurred in two patients within one year after hospital discharge. TAE procedures were performed once more using microcoils, and the bleeding was controlled. Conclusion: For the patients with refractory and repeated gastrointestinal hemorrhage due to angiodysplasia, TAE seems to be an effective alternative option when endoscopic examination and treatment do not work.

scholarly journals Embolization of Nonvariceal Upper Gastrointestinal Hemorrhage Complicated by Bowel Ischemia

2019 ◽  
Vol 36 (02) ◽  
pp. 076-083
Author(s):  
Gretchen Foltz ◽  
Tamim Khaddash
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Gastrointestinal Hemorrhage ◽  
Clinical Success ◽  
Arterial Embolization ◽  
Upper Gastrointestinal Hemorrhage ◽  
Success Rates ◽  
The Past ◽  
First Line Therapy ◽  
Patient Presentation ◽  
Upper Gastrointestinal

AbstractOver the past three decades, transcatheter arterial embolization has become the first-line therapy for the management of acute nonvariceal upper gastrointestinal bleeding refractory to endoscopic hemostasis. Overall, transcatheter arterial interventions have high technical and clinical success rates. This review will focus on patient presentation and technical considerations as predictors of complications from transcatheter arterial embolization in the management of acute upper gastrointestinal hemorrhage.

Massive upper gastrointestinal hemorrhage in the elderly

1977 ◽  
Vol 134 (6) ◽  
pp. 721-723 ◽  
Author(s):  
Frederic C. Chang ◽  
James E. Drake ◽  
George J. Farha
Keyword(s):  
Gastrointestinal Hemorrhage ◽  
The Elderly ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

2019 ◽  
Vol 26 (6) ◽  
pp. 879-884
Author(s):  
Wataru Higashiura ◽  
Hiroaki Takara ◽  
Ryoichi Kitamura ◽  
Tomotaka Iraha ◽  
Akio Nakasu ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Superior Mesenteric Artery ◽  
Transcatheter Arterial Embolization ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Transarterial Embolization ◽  
Arterial Embolization ◽  
Collateral Flow ◽  
Ileocolic Artery ◽  
Mycotic Aneurysms

Purpose: To report 3 patients with infective endocarditis who underwent transcatheter arterial embolization for mycotic aneurysm of the distal superior mesenteric artery (SMA). Case Report: Three men (60, 64, and 65 years old) were diagnosed with infective endocarditis. Antibiotics were initiated immediately after admission and continued for several weeks to months. Distal SMA mycotic aneurysm was identified on computed tomography in the vicinity of the ileocolic artery at 33, 26, and 30 days after admission. In case 1, the ileal artery was occluded distal to the aneurysm, with collateral flow to the ileum. In case 2, the mycotic aneurysm was located below the ileocolic artery, which was stenosed distal to the lesion. In case 3, the aneurysm was located on a branch of the ileal artery. Transarterial embolization using microcoils was successfully performed in all patients. No complications associated with embolotherapy or relapse of infection were observed in these 3 patients at 60, 30, and 15 months, respectively. Conclusion: Transcatheter arterial embolization for distal SMA mycotic aneurysm could provide an alternative to open surgery. Anatomical assessment of collateral flow and preprocedure long-term antibiotic therapy could play important roles in preventing bowel ischemia and minimizing the risk of infection relapse.

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