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Super-Selective Mesenteric Embolization Provides Effective Control of Lower GI Bleeding
Joint Authors
Tran, Bob Anh
Ooi, Kevin
Mykytowycz, Marcus
McLaughlin, Stephen
Croxford, Matthew
Skinner, Iain
Faragher, Ian
Pham, Toan
Source
Radiology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197678