Superselective arterial embolisation with a liquid polyvinyl alcohol copolymer in patients with acute gastrointestinal haemorrhage

Lenhart, Markus and Paetzel, Christian and Sackmann, Michael and Schneider, Hans and Jung, Ernst Michael and Schreyer, Andreas G. and Feuerbach, Stefan and Zorger, Niels (2010) Superselective arterial embolisation with a liquid polyvinyl alcohol copolymer in patients with acute gastrointestinal haemorrhage. EUROPEAN RADIOLOGY, 20 (8). pp. 1994-1999. ISSN 0938-7994, 1432-1084

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Abstract

To evaluate the results of emergency embolisation in acute arterial bleeding of the gastrointestinal tract with a liquid polyvinyl alcohol copolymer from two centres. We retrospectively analysed 16 cases (15 patients) of acute arterial bleeding of the gastrointestinal tract where emergency embolotherapy was performed by using the copolymer when acute haemorrhage was not treatable with endoscopic techniques alone. Cause of haemorrhage and technical and clinical success were documented. Arterial embolotherapy was successful in all 16 cases. The technical success rate was 100%. The cause of bleeding was pancreatitis in four, graft-versus-host disease (GVHD) of the colon in three, malignancy in three, angiodysplasia in two, ulcer in two and panarteritis nodosa and trauma in one each. There were no procedure-related complications. No bowel necrosis occurred because of embolisation. In 13 cases, the patients were discharged in good condition (81%); the three patients with GVHD died because of the underlying disease. The copolymer seems to have great potential in embolotherapy of acute arterial gastrointestinal bleeding. In our series none of the patients had rebleeding at the site of embolisation and no clinically obvious bowel necrosis occurred.

Item Type: Article
Uncontrolled Keywords: N-BUTYL CYANOACRYLATE; CEREBRAL ARTERIOVENOUS-MALFORMATIONS; ONYX; PSEUDOANEURYSMS; MANAGEMENT; EXPERIENCE; ANEURYSM; TRIAL; SWINE; COILS; Embolic agents; Embolisation; Therapeutic; Gastrointestinal tract haemorrhage; Mesenteric arteries
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Jul 2020 08:42
Last Modified: 20 Jul 2020 08:42
URI: https://pred.uni-regensburg.de/id/eprint/24380

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