Super-Selective Mesenteric Embolization Provides Effective Control of Lower GI Bleeding
المؤلفون المشاركون
Tran, Bob Anh
Ooi, Kevin
Mykytowycz, Marcus
McLaughlin, Stephen
Croxford, Matthew
Skinner, Iain
Faragher, Ian
Pham, Toan
المصدر
Radiology Research and Practice
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-01-22
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Introduction.
We aimed to assess the efficacy and safety of digital subtraction angiography (DSA) and super-selective mesenteric artery embolization (SMAE) in managing lower GI bleeding (LGIB).
Method.
A retrospective case series of patients with LGIB treated with SMAE in our health service.
Patients with confirmed active LGIB, on either radionuclide scintigraphy (RS) or contrast-enhanced multidetector CT angiography (CE-MDCT), were referred for DSA +/− SMAE.
Data collected included patient characteristics, screening modality, bleeding territory, embolization technique, technical and clinical success, short-term to medium-term complications, 30-day mortality, and progression to surgery related to procedural failure or complications.
Results.
There were fifty-five hospital admissions with acute unstable lower gastrointestinal bleeding which were demonstrable on CE-MDCT or RS over a 31-month period.
Eighteen patients proceed to embolization, with immediate success in all.
Eight patients (44%) had clinical rebleeding after intervention, warranting repeated imaging.
Only one case (5.6%) demonstrated radiological rebleeding and was reembolized.
Complication rate was excellent: no bowel ischaemia, ischaemic stricture, progression to surgery, or 30-day mortality.
Conclusion.
SMAE is a viable, safe, and effective first-line management for localised LGIB.
Our results overall compare favourably with the published experiences of other institutions.
It is now accepted practice at our institution to manage localised LGIB with embolization.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Pham, Toan& Tran, Bob Anh& Ooi, Kevin& Mykytowycz, Marcus& McLaughlin, Stephen& Croxford, Matthew…[et al.]. 2017. Super-Selective Mesenteric Embolization Provides Effective Control of Lower GI Bleeding. Radiology Research and Practice،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1197678
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Pham, Toan…[et al.]. Super-Selective Mesenteric Embolization Provides Effective Control of Lower GI Bleeding. Radiology Research and Practice No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1197678
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Pham, Toan& Tran, Bob Anh& Ooi, Kevin& Mykytowycz, Marcus& McLaughlin, Stephen& Croxford, Matthew…[et al.]. Super-Selective Mesenteric Embolization Provides Effective Control of Lower GI Bleeding. Radiology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1197678
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1197678
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر