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CardioVascular and Interventional Radiology

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01-02-2006 | CLINICAL INVESTIGATION

Microcoil Embolization for Acute Lower Gastrointestinal Bleeding

Authors: Bertrand Janne d’Othée, Padmaja Surapaneni, Dmitry Rabkin, Imad Nasser, Melvin Clouse

Published in: CardioVascular and Interventional Radiology | Issue 1/2006

Abstract

Purpose

To assess outcomes after microcoil embolization for active lower gastrointestinal (GI) bleeding.

Methods

We retrospectively studied all consecutive patients in whom microcoil embolization was attempted to treat acute lower GI bleeding over 88 months. Baseline, procedural, and outcome parameters were recorded following current Society of Interventional Radiology guidelines. Outcomes included technical success, clinical success (rebleeding within 30 days), delayed rebleeding (>30 days), and major and minor complication rates. Follow-up consisted of clinical, endoscopic, and pathologic data.

Results

Nineteen patients (13 men, 6 women; mean age ± 95% confidence interval = 70 ± 6 years) requiring blood transfusion (10 ± 3 units) had angiography-proven bleeding distal to the marginal artery. Main comorbidities were malignancy (42%), coagulopathy (28%), and renal failure (26%). Bleeding was located in the small bowel (n = 5), colon (n = 13) or rectum (n = 1). Technical success was obtained in 17 patients (89%); 2 patients could not be embolized due to vessel tortuosity and stenoses. Clinical follow-up length was 145 ± 75 days. Clinical success was complete in 13 (68%), partial in 3 (16%), and failed in 2 patients (11%). Delayed rebleeding (3 patients, 27%) was always due to a different lesion in another bowel segment (0 late rebleeding in embolized area). Two patients experienced colonic ischemia (11%) and underwent uneventful colectomy. Two minor complications were noted.

Conclusion

Microcoil embolization for active lower GI bleeding is safe and effective in most patients, with high technical and clinical success rates, no procedure-related mortality, and a low risk of bowel ischemia and late rebleeding.

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Title: Microcoil Embolization for Acute Lower Gastrointestinal Bleeding
Authors: Bertrand Janne d’Othée
Padmaja Surapaneni
Dmitry Rabkin
Imad Nasser
Melvin Clouse
Publication date: 01-02-2006
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 1/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-004-0301-4

At a glance: The STEP trials

Springer Medicine

Microcoil Embolization for Acute Lower Gastrointestinal Bleeding

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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