A CLINICAL EVALUATION OF TRANSCATHETER ARTERIAL EMBOLIZATION FOR CONTROL OF BLEEDING FROM GASTRIC ULCER
Isao TakedaSatoshi NakanoTakashi KumadaKei‐ichi SugiyamaToshimasa OsadaSeiki KiriyamaMasahiko YamadaHideo OkabeTutomu TakedaToshiyuki Katoh
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Arterial Embolization
Arterial Embolization
Upper Gastrointestinal Bleeding
Pseudoaneurysm
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【目的】内視鏡的に止血が困難な出血性の進行胃癌に対する血管塞栓術（TAE）の有用性について検討した．
Arterial Embolization
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Gastrointestinal bleeding
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Background: Transcatheter arterial embolization can be used for patients with recurrent bleeding from the upper gastrointestinal tract after failed endoscopic treatment.Our aim to identify the clinical and technical factors that infl uenced the outcome of transcatheter embolization for therapy of upper gastrointestinal bleeding after failed surgery or after failed endoscopic treatment in high risk surgical patients. Methods:We performed a prospective study to analysis of the 15 patients who underwent Transcatheter arterial embolization for nonvariceal upper gastrointestinal bleeding at Alshifa hospital from January 2015 to March 2019.The following variables were recorded: demographic data, time from bleeding start to TAE, units of packed red cells before TAE and units of packed plasma before Transcatheter arterial embolization and we analysis 30 days rebleeding rates and mortality.Results: Patients treated with Transcatheter arterial embolization (median age: 62 years, range: 14-79 years).The technical success rate of the embolization procedure was 100%.Time from bleeding start to TAE was 2.1 (1-4) days , units of packed red cells before Transcatheter arterial embolization was 12.8 (4-22) packed and units of packed plasma was 3.2 (2-5) packed.Following 30 days after embolization, 2 (13%) patients had repeated bleeding and 3 (20.0%)patients died. Conclusion:In our experience, arterial embolization is a safe and effective treatment method for upper gastrointestinal bleeding and a possible alternative to surgery for high-risk patients.
Arterial Embolization
Upper Gastrointestinal Bleeding
Gastrointestinal bleeding
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Bleed
Therapeutic Endoscopy
Arterial Embolization
Upper Gastrointestinal Bleeding
Gastrointestinal bleeding
Medical record
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The review presents data on the use of transcatheter arterial embolization in patients with gastroduodenal bleeding. Reviewed the indications, technique, results and possible complications after transcatheter arterial embolization.
Arterial Embolization
Gastroduodenal artery
Gastroduodenal ulcer
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Arterial Embolization
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Transcatheter arterial embolization is a possible treatment for patients with recurrent bleeding from the upper gastrointestinal tract after failed endoscopic management and is also an alternative to surgical treatment.To analyze the outcomes of transcatheter arterial embolization and identify the clinical and technical factors that influenced the rates of morbidity and mortality.A retrospective analysis was carried out, based on the data of 36 patients who underwent transcatheter arterial embolization for acute nonvariceal upper gastrointestinal bleeding in 2013 to 2015 in our center. An analysis was performed between early rebleeding rates, mortality and the following factors: patient sex, age, number of units of packed red blood cells and packed plasma administered to the patients, length of hospital stay, therapeutic or prophylactic embolization.The technical success rate of the embolization procedure was 100%. There were 15 (41.70%) therapeutic embolizations and 21 (58.3%) prophylactic embolizations. There was a 77.8% clinical success rate. Following embolization, 10 (27.80%) patients had repeated bleeding and 9 (25.0%) patients died. Significant associations were found between rebleeding and prophylactic embolization (OR = 10.53; p = 0.04) and between mortality and prophylactic embolization (OR = 10.53; p = 0.04) and units of packed red blood cells (OR = 1.25; p < 0.01).In our experience, transcatheter arterial embolization is a safe treatment method for acute nonvariceal upper gastrointestinal bleeding and a possible alternative to surgery for high-risk patients.
Arterial Embolization
Upper Gastrointestinal Bleeding
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Transcatheter embolization of the left gastric artery, its branches and the gastroduodenal artery as part of the combination therapy of gastroduodenal ulcer bleeding can significantly improve the outcome of the treatment. Arterial embolization is an alternative to the surgical treatment of ulcer bleeding and an operation of choice for high-risk surgical patients.
Gastroduodenal ulcer
Gastroduodenal artery
Arterial Embolization
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