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

Creative Commons License

TAHTABAŞI M., Kolu M.

Marmara Medical Journal, cilt.34, sa.2, ss.180-188, 2021 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.5472/marumj.944254
  • Dergi Adı: Marmara Medical Journal
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.180-188
  • Anahtar Kelimeler: Interventional imaging, Nonvariceal upper gastrointestinal bleeding, Endoscopy, Angiography, Embolization
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

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 embolization is an effective method used with high technical and clinical success rates in the treatment of endoscopy-refractory acute UGIB.