Endovascular arterial embolization for duodenal bleeding as an alternative to surgical approach

Bagdasarov, V. V.; Bagdasarova, E. A.; Чернооков, А. И.; Ataian, A. A.; Karchevskiĭ, E. V.

doi:10.17116/hirurgia2016245-50

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…This is consistent with the opinion that interventions aimed at a long-term full patency of the treated vessel are less useful, as even temporary recanalization improves blood flow in the foot, and this promotes healing of wounds or ulcers ( 8 ). It is known that oxygen demand of the healed tissues decreases and normally lower blood flow is required to keep the tissue intact ( 9 ). Taking into account the fact that repeated stenting and balloon angioplasty can be performed, they have an undoubted advantage over bypass and prosthetic vascular interventions.…”

Section: Discussionmentioning

confidence: 99%

Endovascular surgery for the treatment of purulent and necrotic complications in diabetic foot syndrome

Jakanov

Жакиев

Karsakbayev

et al. 2021

Med. J. Islam. Republ. Iran

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Background: Diabetic foot syndrome (DFS) causes damage to the peripheral arteries in 50% of patients with diabetes mellitus (DM). The purpose of this study was to evaluate the efficacy of endovascular interventions, stenting, and balloon angioplasty for the treatment of patients with purulent and necrotic lesions in DFS. Methods: This was a retrospective study. During 2019-2020, stenting and balloon angioplasty were performed in 51 patients (study group) with purulent and necrotic complications of diabetic foot with limb ischemia. There were 32 women (62.7%) and 19 men (37.3%). The age of the patients varied from 45 to 81 years. Endovascular interventions were performed in combination with conservative therapy and topical treatment on 2 to 3 days after the debridement of the purulent lesions. To assess the outcomes of endovascular interventions, we studied the nature of changes in arterial circulation in the lower extremities. The mean blood flow velocity was calculated using the Doppler ultrasonography. The study was performed on the popliteal artery (PA), the posterior tibial artery (PTA), and on the dorsalis pedis artery. In this study, patients were divided into 2 groups: the study group— those who received endovascular intervention— and the control group— those who received only conservative therapy, which included local treatment without surgery. Results: The weightbearing function of the foot at discharge from the hospital was preserved in 94.2% (48 patients) of the study group and in 73.4% (22 patients) of the control group. During the next 6 months, repeated small foot surgeries were required in 7.3% (3 patients) of patients from the study group and in 20% (4 patients) of patients from the control group. Six months after discharge, the weightbearing function of the foot was preserved in all the patients from the study group available for follow-up and in 85% of the patients from the control group. Conclusion: The results of the study demonstrate the positive corrective effects of endovascular interventions, stenting, and balloon angioplasty on the clinical course of ischemic and neuroischemic forms of DFS.

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Section: Discussionmentioning

confidence: 99%

Endovascular surgery for the treatment of purulent and necrotic complications in diabetic foot syndrome

Jakanov

Жакиев

Karsakbayev

et al. 2021

Med. J. Islam. Republ. Iran

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“…Recent research suggetsed that TAE is a safe treatment method for gastrointestinal bleeding. Authors have reported satisfactory results of TAE compared to surgery for treatment of bleeding after gastric cancer resection, duodenal bleeding, severe bleeding of upper gastrointestinal tumors and bleeding gastroduodenal ulcers [6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Arterial Embolization for the treatment of upper gastrointestinal bleeding

Habib¹,

Alshounat²

2019

Ann Clin Gastroenterol Hepatol

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Background:Transcatheter arterial embolization can be used for patients with recurrent bleeding from the upper gastrointestinal tract after failed endoscopic treatment. Our aim to identify the clinical and technical factors that infl uenced the outcome of transcatheter embolization for therapy of upper gastrointestinal bleeding after failed surgery or after failed endoscopic treatment in high risk surgical patients. Methods:We performed a prospective study to analysis of the 15 patients who underwent Transcatheter arterial embolization for nonvariceal upper gastrointestinal bleeding at Alshifa hospital fromThe following variables were recorded: demographic data, time from bleeding start to TAE, units of packed red cells before TAE and units of packed plasma before Transcatheter arterial embolization and we analysis 30 days rebleeding rates and mortality. Results:Patients treated with Transcatheter arterial embolization (median age: 62 years, range: 14-79 years).The technical success rate of the embolization procedure was 100%. Time from bleeding start to TAE was 2.1 (1-4) days , units of packed red cells before Transcatheter arterial embolization was 12.8 (4-22) packed and units of packed plasma was 3.2 (2-5) packed. Following 30 days after embolization, 2 (13%) patients had repeated bleeding and 3 (20.0%) patients died. Conclusion:In our experience, arterial embolization is a safe and effective treatment method for upper gastrointestinal bleeding and a possible alternative to surgery for high-risk patients.

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Study on arc duration and erosion characteristics of cable electrodes in AC series circuits

Gao

Yang

et al. 2023

J. Phys. D: Appl. Phys.

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Arc duration and erosion characteristics of cables are closely related to electrical fire hazards. In this study, the arc duration and arc erosion characteristics of copper and aluminum core cables were explored. The main erosion modes of copper core cable with mica insulation (HC0) and aluminum core cable with PI insulation (HA0) were determined. Results show that several large molten droplets with diameters of 5±0.5mm would drip down from the molten pool on the cable end during arcing of HC0, but the molten droplets are adhered to the molten pool and do not drip down during arcing of HA0. We concluded that the differences in melting energy and oxide film between copper and aluminum are the main reasons for this phenomenon. Besides, the molten pool can be formed on the cable end as the insulation is heatproof, which plays a vital role in prolonging the arc duration of cables. The arc duration of cables with heatproof insulation is longer than those with common insulation. This means that the cables with heatproof insulation have higher fire hazards from the perspective of arc duration. To further understand the influence of molten pools on arc duration, an arc duration model was developed based on energy balance, which is beneficial in determining the arc duration of cables with heatproof insulation in electrical fire accident investigation.

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Endovascular arterial embolization for duodenal bleeding as an alternative to surgical approach

Abstract: TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.

Cited by 6 publications

References 11 publications

Endovascular surgery for the treatment of purulent and necrotic complications in diabetic foot syndrome

Endovascular surgery for the treatment of purulent and necrotic complications in diabetic foot syndrome

Transcatheter Arterial Embolization for the treatment of upper gastrointestinal bleeding

Study on arc duration and erosion characteristics of cable electrodes in AC series circuits

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