Transcatheter arterial embolization in acute non-variceal gastrointestinal bleedings: A ten-year single-center experience in 91 patients and review of the literature

F. Fontana, F. Piacentino, C. Ossola, A. Coppola, M. Curti, E. Macchi, G. De Marchi, C. Floridi, A.M. Ierardi, G. Carrafiello, S. Segato, G. Carcano, M. Venturini

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To report the safety and efficacy of trans-arterial embolization (TAE) for upper gastrointestinal bleeding (UGIB) and lower gastrointestinal bleeding (LGIB) due to different etiologies in 91 patients for ten years. Methods: A retrospective analysis of GIB treated between January 2010 and December 2020 was performed. TAE was performed using different embolic agents (coils, particles, glue, gelatin sponge, and EVOH-based agents). Technical success, secondary technical success, clinical success, and complications were evaluated. Results: Technical success was achieved in 74/91 (81.32%) patients. Seventeen patients (18.68%) required re-intervention. Secondary technical success was achieved in all cases (100.0%). Clinical success was achieved in 81/91 patients (89.01%). No major complications were recorded; overall, minor complications occurred in 20/91 patients. Conclusions: TAE is a technically feasible and safe therapeutic option for patients with GIB from a known or blind anatomic source where endoscopic therapy has failed or is deemed unfeasible.

Original languageEnglish
Article number4979
JournalJournal of Clinical Medicine
Volume10
Issue number21
DOIs
Publication statusPublished - 2021

Keywords

  • Embolic agents
  • Gastrointestinal bleeding
  • Trans-arterial embolization

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