ECR 2013 / C-1545
Acute lower gastrointestinal hemorrhage: treatment by transcatheter embolization
This poster was previously presented in Spanish at the 2012 Congreso Nacional SERAM (Granada)
Keywords:
Haemorrhage, Embolisation, Catheter arteriography, Interventional vascular, Emergency, Arteries / Aorta
Authors:
M. Echenagusia Boyra, M. González Leyte, G. Rodriguez Rosales, F. Camúñez Alonso, A. E. Madrid Vallenilla, N. Mimika Haasz; Madrid/ES
DOI:
10.1594/ecr2013/C-1545
Results
- Extravasations were found out in all the10 patients within the initial mesenteric angiogram (either superior or inferior mesenteric artery).
Nine of ten patients underwent superior mesenteric artery branch catheterization and one underwent inferior mesenteric artery branch catheterization.
- The following bleeding sites were identified: jejunal branch (n = 4),
branch of right colic artery (n = 2),
branch of ileocolic artery (n = 2),
ileal branch (n = 1),
and branch of sigmoid artery (n = 1).
- Technical success,
defined as no bleeding signs in angiography performed after embolization,
was achieved in all patients (100%).
There were no procedure-related death or complications.
- Three patients had recurrent lower gastrointestinal hemorrhage during the following weeks.
One patient showed bleeding in a different location from the prior site of embolization. Repeated angiography was performed with successful result.
Another patient required surgical resection (urgent colectomy) due to multiple bleeding episodes caused by an ulcerative colitis.
The third patient died 10 days after the initial embolization due to massive gastrointestinal bleeding episode.
- No intestinal infarction,
perforation or stricture was developed in any patient.
No other complication related to the embolization was seen during the follow up.