Transcatheter embolization for endoscopically unmanageable acute nonvariceal upper gastrointestinal hemorrhage

Chevallier, Philippe; Novellas, S.; Vanbiervliet, G; Staccini, Pascal; Conte, Lorenzo; Hébuterne, Xavier; Bruneton, J.N.

doi:10.1016/j.clinimag.2007.06.007

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other negative predictive factors include older age, cirrhosis, oncologic diseases, multiple organ failure, and current corticosteroid treatment [7,56]. Generally, the morbidity and mortality associated with endovascular intervention is lower or comparable than for surgical procedure [28,42,[57][58][59].…”

Section: Outcomementioning

confidence: 99%

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Válek

Hustý

2012

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

Section: Outcomementioning

confidence: 99%

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Válek

Hustý

2012

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

“…In comparison, initial selective catheter angiography is invasive but may be more sensitive and can identify haemorrhage when the bleeding rate is as low as 0.5 mL/min . However, formal angiography is operator‐ and technique‐dependent, and super‐selective catheter placement may be required to maximize benefit …”

Section: Discussionmentioning

confidence: 99%

Management of recurrent bleeding after pancreatoduodenectomy

Staerkle

Gundara

Hugh

et al. 2017

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…After a second look at endoscopy, if bleeding recurs, TAE is generally considered the next step in the management of UGIB. Conservative surgeries such as ulcer suture, ligation of the GDA, and radical surgeries such as distal gastrectomy with partial duodenectomy emergency surgical procedures have been described with high morbidity rate (50%) and mortality rates (30%), when considering patients' ages with a high incidence of comorbid diseases [10]. Several series and meta-analyses subsequently confirmed the role, efficacy, success rate, and safety of TAE in the management of UGIB with superiority of TAE for the length of stay, rebleeding, and complication rates [11][12][13][14].…”

Section: Endoscopic Findingsmentioning

confidence: 99%

Role of Transcatheter Arterial Embolization in Acute Refractory Non-variceal Upper Gastrointestinal Bleeding Not Controlled by Endoscopy: A Single-Center Experience and a Literature Review

Ishak¹,

Ghazanfar²,

Kandhi³

et al. 2022

Cureus

View full text Add to dashboard Cite

IntroductionAcute upper gastrointestinal bleeding (UGIB) is a medical emergency and a common cause of hospital admissions worldwide. It has traditionally been treated with resuscitation and endoscopic intervention as the first-line therapy. In this study, we assessed the adjunctive role of transcatheter arterial embolization (TAE) in patients with uncontrolled UGIB after an endoscopic intervention. Material and methodsA retrospective chart review of patients requiring TAE of UGIB which was not controlled by endoscopic intervention in BronxCare Health System from 2018 to 2021 was done. Patients who were more than 18 years of age and required TAE during the time period of the study were included in the study. Patients' charts were reviewed for patients' demographics, comorbidities, hospital course, imaging findings, esophagogastroduodenoscopy findings and intervention, and interventional radiology intervention and clinical outcome. ResultsA total of 10 patients were included in the study. A majority of the patients were male. Transcatheter atrial embolization was successful in all the 10 patients. Coils were used in seven patients while particulate polyvinyl alcohol 500 micron particle was used in two patients and vascular plug was used in two patients. Out of the 10 patients, four expired during the hospital course. None of the patients died secondary to UGIB. Three of the patients expired due to severe sepsis with septic shock secondary to pneumonia while one patient died because of respiratory failure due to lung collapse secondary to endobronchial lesion. ConclusionRefractory acute UGIB is associated with significant morbidity and mortality. TAE is a minimally invasive measure that should be considered early in the treatment of UGIB which is refractory to conventional endoscopic management. Our case highlights the importance of TAE in a patient with refractory UGIB after endoscopic intervention.

show abstract

Transcatheter embolization for endoscopically unmanageable acute nonvariceal upper gastrointestinal hemorrhage

Cited by 3 publications

References 0 publications

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Management of recurrent bleeding after pancreatoduodenectomy

Role of Transcatheter Arterial Embolization in Acute Refractory Non-variceal Upper Gastrointestinal Bleeding Not Controlled by Endoscopy: A Single-Center Experience and a Literature Review

Contact Info

Product

Resources

About