TY - JOUR
T1 - Outpatient Transradial Emborrhoid Technique
T2 - A Pilot Study
AU - Iezzi, Roberto
AU - Campenni, Paola
AU - Posa, Alessandro
AU - Parello, Angelo
AU - Rodolfino, Elena
AU - Marra, Angelo Alessandro
AU - Ratto, Carlo
AU - Manfredi, Riccardo
N1 - Funding Information:
This study was not supported by any funding.
Publisher Copyright:
© 2021, Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
PY - 2021/8
Y1 - 2021/8
N2 - Purpose: To determine whether outpatient transradial emborrhoid technique can be performed safely and effectively in the treatment of symptomatic hemorrhoids. Materials and Methods: The transradial emborrhoid technique was used to treat 12 patients with symptomatic hemorrhoids in an outpatient setting during a 4-month period. After percutaneous catheterization of the left radial artery, a 5-Fr sheath was introduced to catheterize the inferior mesenteric artery and a microcatheter was advanced into the branches of the superior rectal artery for embolization with 0.018-inch detachable coils (Interlock and IDC—interlocking detachable coils). After embolization, the sheath was withdrawn and puncture site hemostasis was achieved using a wrist band. All patients were evaluated 6 h after the procedure to determine whether they meet the discharge criteria and were discharged the following day. The results of the emborrhoid treatment were assessed at the 4-week follow-up. Results: The emborrhoid technique was successful in all patients. There was no major complication associated with the procedure. All patients met the discharge criteria 6 h after the procedure. Reduction of local edema and of hemorrhoidal congestion was observed in all patients. At the follow-up visit, the mean Rorvik score (HDSS + SHS-HD) decreased from 31.50 (7.50) to 13.11 (8.33) (p <.001). Conclusions: Transradial rectal artery embolization is a safe and effective treatment option for patients with chronic symptoms of hemorrhoid disease.
AB - Purpose: To determine whether outpatient transradial emborrhoid technique can be performed safely and effectively in the treatment of symptomatic hemorrhoids. Materials and Methods: The transradial emborrhoid technique was used to treat 12 patients with symptomatic hemorrhoids in an outpatient setting during a 4-month period. After percutaneous catheterization of the left radial artery, a 5-Fr sheath was introduced to catheterize the inferior mesenteric artery and a microcatheter was advanced into the branches of the superior rectal artery for embolization with 0.018-inch detachable coils (Interlock and IDC—interlocking detachable coils). After embolization, the sheath was withdrawn and puncture site hemostasis was achieved using a wrist band. All patients were evaluated 6 h after the procedure to determine whether they meet the discharge criteria and were discharged the following day. The results of the emborrhoid treatment were assessed at the 4-week follow-up. Results: The emborrhoid technique was successful in all patients. There was no major complication associated with the procedure. All patients met the discharge criteria 6 h after the procedure. Reduction of local edema and of hemorrhoidal congestion was observed in all patients. At the follow-up visit, the mean Rorvik score (HDSS + SHS-HD) decreased from 31.50 (7.50) to 13.11 (8.33) (p <.001). Conclusions: Transradial rectal artery embolization is a safe and effective treatment option for patients with chronic symptoms of hemorrhoid disease.
KW - Angiography
KW - Coil embolization
KW - Hemorrhoid
KW - Outpatient ambulatory care
KW - Transradial approach
UR - http://www.scopus.com/inward/record.url?scp=85105887271&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85105887271&partnerID=8YFLogxK
U2 - 10.1007/s00270-021-02856-8
DO - 10.1007/s00270-021-02856-8
M3 - Article
C2 - 33977328
AN - SCOPUS:85105887271
VL - 44
SP - 1300
EP - 1306
JO - CardioVascular and Interventional Radiology
JF - CardioVascular and Interventional Radiology
SN - 7415-5101
IS - 8
ER -