Transcatheter arterial embolization for acute nonvariceal upper gastrointestinal bleeding: Indications, techniques and outcomes

Abstract Over the past three decades, transcatheter arterial embolization has become the first-line therapy for the management of acute nonvariceal upper gastrointestinal bleeding that is refractory to endoscopic hemostasis. Advances in catheter-based techniques and newer embolic agents, as well as...

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Bibliographic Details
Published in:Diagnostic and interventional imaging 2015-07, Vol.96 (7), p.731-744
Main Authors: Loffroy, R, Favelier, S, Pottecher, P, Estivalet, L, Genson, P.Y, Gehin, S, Cercueil, J.P, Krausé, D
Format: Article
Language:English
Subjects:
Acute Disease
Angiography
Diagnosis, Differential
Embolization
Embolization, Therapeutic - methods
Endoscopy
Esophagoscopy
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - therapy
Gastroscopy
Humans
Nonvariceal upper gastrointestinal bleeding
Radiology
Surgery
Treatment Outcome
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Summary:Abstract Over the past three decades, transcatheter arterial embolization has become the first-line therapy for the management of acute nonvariceal upper gastrointestinal bleeding that is refractory to endoscopic hemostasis. Advances in catheter-based techniques and newer embolic agents, as well as recognition of the effectiveness of minimally invasive treatment options, have expanded the role of interventional radiology in the treatment of bleeding for a variety of indications. Transcatheter arterial embolization is a fast, safe, and effective minimally invasive alternative to surgery, when endoscopic treatment fails to control acute bleeding from the upper gastrointestinal tract. This article describes the role of arterial embolization in the management of acute nonvariceal upper gastrointestinal bleeding and summarizes the literature evidence on the outcomes of endovascular therapy in such a setting.
ISSN:2211-5684
2211-5684
DOI:10.1016/j.diii.2015.05.002