Superselective Transcatheter Arterial Embolization in the Treatment of Angiodysplasia

Abstract

Acute nonvariceal upper gastrointestinal hemorrhage is a frequent condition associated with significant morbidity and mortality. Angiodysplasia is a common cause of bleeding in the gastrointestinal tract in the elderly. This case report discusses about a 75-year-old woman clinically stable with melena for 2 years due to arteriovenous fistula of upper mesenteric artery branches without adequate clinical and therapeutic treatment. The goal of this article is to report the safety and efficacy of superselective transcatheter arterial embolization with coils in treating lower gastrointestinal bleeding caused by angiodysplasia that was unresponsive to internal medicine treatment and enteroscopy management.

Superselective transcatheter arterial embolization of iatrogenic inferior epigastric artery after paracentesis: Unusual manifestation of hemoperitoneum

“…There are various endovascular therapeutic options including embolization with polyvinyl alcohol (PVA), gelfoam, coils, autologous coagulum, and n-butyl cyanoacrylate, Onix or associated combinations [ 10 ]. Our interventional radiology department has no standard protocol for embolization of active hemorrhages of IEA.…”

Reappraising the spectrum of bleeding gastrointestinal angioectasia in a degenerative calcific aortic valve stenosis: Heyde’s syndrome

“…Superselective arterial embolization uses embolic agents such as gelfoam, microcoils, and n-butyl cyanoacrylate to occlude the bleeding vessel in a gastrointestinal angioectasia. This technique has been shown to be successful in the management of bleeding angioectasia [65].…”

Angiodysplasia of the cecum, a threatening bleeding in the elderly

“…(20) La coagulación con plasma argón es una técnica muy difundida; es el método más común para tratar la angiodisplasia, especialmente en el colon derecho. (19) Sin embargo, en las lesiones vasculares situadas en el colon ascendente y el ciego, el riesgo de perforación es mayor, debido a que la pared es más delgada que en el resto del tubo digestivo, (9-8) por lo que últimamente existen Carrera de Medicina. Facultad de Ciencias de la Salud.…”