The efficacy and clinical outcomes of transarterial embolization in acute massive upper gastrointestinal bleeding: a single-center experience

Year 2021, , 180 - 188, 31.05.2021

Mehmet Tahtabası Mehmet Kolu

https://doi.org/10.5472/marumj.944254

Abstract

Objective: To evaluate the efficacy of transarterial embolization (TAE) in the treatment of acute upper gastrointestinal bleeding
(UGIB) and identify potential factors affecting the treatment outcome.
Patients and Methods: Eighteen patients with UGIB treated with TAE were included in the study. The demographic data, causes of
bleeding, angiography findings, treatments applied, and clinical outcomes were retrospectively analyzed.
Results: Thirteen (72.2%) patients were male, five (27.8%) were female, and the mean age was 55 years (range: 33-68 years). A
pseudoaneurysm (n = 7; 38.9%) was the most common finding, followed by tumor staining (n = 4; 22.2%). The most common
pathology causing bleeding was peptic ulcer disease (n = 9; 50%). The most commonly embolized artery was the gastroduodenal
artery (n = 11; 61.1%). There were three (16.7%) patients with hemobilia due to iatrogenic hepatic artery pseudoaneurysm. In most
cases (n = 9; 50%), coils and polyvinyl alcohol particles were used in combination. Technical success was achieved in all patients. The
clinical success rate was 78.5% (11/14 patients) after the exclusion of patients who died for non-UGIB causes (n = 4; 22.2%).
Conclusion: Transarterial embolizati

Keywords

Interventional imaging, Nonvariceal upper gastrointestinal bleeding, Endoscopy, Angiography, Embolization

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