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Transcatheter arterial embolisation for acute lower gastrointestinal haemorrhage: a single-centre study
Objective To investigate the safety and efficacy of transcatheter arterial embolisation (TAE) in the management of lower gastrointestinal bleeding (LGIB) and to identify predictors of clinical outcomes. Methods Between December 2005 and April 2017, 274 patients underwent diagnostic angiography for s...
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| Published in: | European radiology 2019, Vol.29 (1), p.57-67 |
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| creator | Kwon, Joon Ho Kim, Man-Deuk Han, Kichang Choi, Woosun Kim, Yong Seek Lee, Junhyung Kim, Gyoung Min Won, Jong Yun Lee, Do Yun |
| description | Objective
To investigate the safety and efficacy of transcatheter arterial embolisation (TAE) in the management of lower gastrointestinal bleeding (LGIB) and to identify predictors of clinical outcomes.
Methods
Between December 2005 and April 2017, 274 patients underwent diagnostic angiography for signs and symptoms of LGIB; 134 patients with positive angiographic findings were retrospectively analysed. The technical success of TAE and clinical outcomes, including recurrent bleeding, major complications, and in-hospital mortality were evaluated. The associations of various clinical and technical factors with clinical outcomes were analysed. Predictors for clinical outcomes were evaluated using univariate and multivariate logistic regression analyses.
Results
A total of 134 patients (mean age, 59.7 years; range, 14–82 years) underwent TAE for LGIB. The bleeding foci were in the small bowel in 74 patients (55.2%), colon in 35 (26.1%), and rectum in 25 (18.7%). Technical success was achieved in 127 patients (94.8%). The clinical success rate was 63% (80/127). The rates of recurrent bleeding, major complications, and in-hospital mortality were 27.9% (31/111), 18.5% (23/124), and 23.6% (33/127), respectively. Superselective embolisation and the use of
N
-butyl cyanoacrylate (NBCA) were significant prognostic factors associated with reduced recurrent bleeding (OR, 0.258;
p
= 0.004 for superselective embolisation, OR, 0.313;
p
= 0.01 for NBCA) and fewer major complications (OR, 0.087;
p
˂ 0.001 for superselective embolisation, OR, 0.272;
p
= 0.007 for NBCA).
Conclusions
TAE is an effective treatment modality for LGIB. Superselective embolisation is essential to reduce recurrent bleeding and avoid major complications. NBCA appears to be a preferred embolic agent.
Key Points
• Transcatheter arterial Embolisation (TAE) is a safe and effective treatment for lower gastrointestinal tract haemorrhage.
• Superselective embolisation is essential to improve outcomes.
• N-butyl cyanoacrylate (NBCA) appears to be a preferred embolic agent with better clinical outcomes. |
| doi_str_mv | 10.1007/s00330-018-5587-8 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2057870356</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2057259908</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-81e93e346141d13ecb113449e0765869b3fd8c4dabc806e6b716059472948ac13</originalsourceid><addsrcrecordid>eNp1kU1P3DAQhi1UBFvgB3BBkXrhYhjHTmxzq1alRVqJC5wtx5nNBiXx1naE-Pf1KttWqtTLzGGeeefjJeSawR0DkPcRgHOgwBStKiWpOiErJnhJGSjxiaxAc0Wl1uKcfI7xDQA0E_KMnJdal3UJ1Yp0L8FO0dm0w4ShsCHH3g4Fjo0f-mhT76di63PFzQmLwb9nqrMxBd9PCWPqp0zvLI4-hJ3t8KGwReynbkDqcEoBi5jm9uOSnG7tEPHqmC_I6-O3l_UPunn-_rT-uqGOyzJRxVBz5KJmgrWMo2sY40JoBFlXqtYN37bKidY2TkGNdSNZDZUWstRCWcf4BblddPfB_5zzfmbso8NhsBP6OZp8tFQSeFVn9Ms_6JufQz5nocpKa1CZYgvlgo8x4NbsQz_a8GEYmIMLZnHBZBfMwQVz6Lk5Ks_NiO2fjt9vz0C5ADGXpg7D39H_V_0F8_WSrg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2057259908</pqid></control><display><type>article</type><title>Transcatheter arterial embolisation for acute lower gastrointestinal haemorrhage: a single-centre study</title><source>Springer Link</source><creator>Kwon, Joon Ho ; Kim, Man-Deuk ; Han, Kichang ; Choi, Woosun ; Kim, Yong Seek ; Lee, Junhyung ; Kim, Gyoung Min ; Won, Jong Yun ; Lee, Do Yun</creator><creatorcontrib>Kwon, Joon Ho ; Kim, Man-Deuk ; Han, Kichang ; Choi, Woosun ; Kim, Yong Seek ; Lee, Junhyung ; Kim, Gyoung Min ; Won, Jong Yun ; Lee, Do Yun</creatorcontrib><description>Objective
To investigate the safety and efficacy of transcatheter arterial embolisation (TAE) in the management of lower gastrointestinal bleeding (LGIB) and to identify predictors of clinical outcomes.
Methods
Between December 2005 and April 2017, 274 patients underwent diagnostic angiography for signs and symptoms of LGIB; 134 patients with positive angiographic findings were retrospectively analysed. The technical success of TAE and clinical outcomes, including recurrent bleeding, major complications, and in-hospital mortality were evaluated. The associations of various clinical and technical factors with clinical outcomes were analysed. Predictors for clinical outcomes were evaluated using univariate and multivariate logistic regression analyses.
Results
A total of 134 patients (mean age, 59.7 years; range, 14–82 years) underwent TAE for LGIB. The bleeding foci were in the small bowel in 74 patients (55.2%), colon in 35 (26.1%), and rectum in 25 (18.7%). Technical success was achieved in 127 patients (94.8%). The clinical success rate was 63% (80/127). The rates of recurrent bleeding, major complications, and in-hospital mortality were 27.9% (31/111), 18.5% (23/124), and 23.6% (33/127), respectively. Superselective embolisation and the use of
N
-butyl cyanoacrylate (NBCA) were significant prognostic factors associated with reduced recurrent bleeding (OR, 0.258;
p
= 0.004 for superselective embolisation, OR, 0.313;
p
= 0.01 for NBCA) and fewer major complications (OR, 0.087;
p
˂ 0.001 for superselective embolisation, OR, 0.272;
p
= 0.007 for NBCA).
Conclusions
TAE is an effective treatment modality for LGIB. Superselective embolisation is essential to reduce recurrent bleeding and avoid major complications. NBCA appears to be a preferred embolic agent.
Key Points
• Transcatheter arterial Embolisation (TAE) is a safe and effective treatment for lower gastrointestinal tract haemorrhage.
• Superselective embolisation is essential to improve outcomes.
• N-butyl cyanoacrylate (NBCA) appears to be a preferred embolic agent with better clinical outcomes.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-018-5587-8</identifier><identifier>PMID: 29926205</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Angiography ; Bleeding ; Catheterization, Peripheral - methods ; Clinical outcomes ; Colon ; Complications ; Diagnostic Radiology ; Diagnostic systems ; Embolization, Therapeutic - methods ; Female ; Gastrointestinal Hemorrhage - diagnosis ; Gastrointestinal Hemorrhage - therapy ; Gastrointestinal tract ; Hemorrhage ; Humans ; Identification methods ; Imaging ; Internal Medicine ; Interventional Radiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Mortality ; Neuroradiology ; Patients ; Radiology ; Rectum ; Regression analysis ; Retrospective Studies ; Signs and symptoms ; Small intestine ; Success ; Treatment Outcome ; Ultrasound ; Vascular-Interventional ; Young Adult</subject><ispartof>European radiology, 2019, Vol.29 (1), p.57-67</ispartof><rights>European Society of Radiology 2018</rights><rights>European Radiology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-81e93e346141d13ecb113449e0765869b3fd8c4dabc806e6b716059472948ac13</citedby><cites>FETCH-LOGICAL-c372t-81e93e346141d13ecb113449e0765869b3fd8c4dabc806e6b716059472948ac13</cites><orcidid>0000-0002-3575-5847</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29926205$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwon, Joon Ho</creatorcontrib><creatorcontrib>Kim, Man-Deuk</creatorcontrib><creatorcontrib>Han, Kichang</creatorcontrib><creatorcontrib>Choi, Woosun</creatorcontrib><creatorcontrib>Kim, Yong Seek</creatorcontrib><creatorcontrib>Lee, Junhyung</creatorcontrib><creatorcontrib>Kim, Gyoung Min</creatorcontrib><creatorcontrib>Won, Jong Yun</creatorcontrib><creatorcontrib>Lee, Do Yun</creatorcontrib><title>Transcatheter arterial embolisation for acute lower gastrointestinal haemorrhage: a single-centre study</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective
To investigate the safety and efficacy of transcatheter arterial embolisation (TAE) in the management of lower gastrointestinal bleeding (LGIB) and to identify predictors of clinical outcomes.
Methods
Between December 2005 and April 2017, 274 patients underwent diagnostic angiography for signs and symptoms of LGIB; 134 patients with positive angiographic findings were retrospectively analysed. The technical success of TAE and clinical outcomes, including recurrent bleeding, major complications, and in-hospital mortality were evaluated. The associations of various clinical and technical factors with clinical outcomes were analysed. Predictors for clinical outcomes were evaluated using univariate and multivariate logistic regression analyses.
Results
A total of 134 patients (mean age, 59.7 years; range, 14–82 years) underwent TAE for LGIB. The bleeding foci were in the small bowel in 74 patients (55.2%), colon in 35 (26.1%), and rectum in 25 (18.7%). Technical success was achieved in 127 patients (94.8%). The clinical success rate was 63% (80/127). The rates of recurrent bleeding, major complications, and in-hospital mortality were 27.9% (31/111), 18.5% (23/124), and 23.6% (33/127), respectively. Superselective embolisation and the use of
N
-butyl cyanoacrylate (NBCA) were significant prognostic factors associated with reduced recurrent bleeding (OR, 0.258;
p
= 0.004 for superselective embolisation, OR, 0.313;
p
= 0.01 for NBCA) and fewer major complications (OR, 0.087;
p
˂ 0.001 for superselective embolisation, OR, 0.272;
p
= 0.007 for NBCA).
Conclusions
TAE is an effective treatment modality for LGIB. Superselective embolisation is essential to reduce recurrent bleeding and avoid major complications. NBCA appears to be a preferred embolic agent.
Key Points
• Transcatheter arterial Embolisation (TAE) is a safe and effective treatment for lower gastrointestinal tract haemorrhage.
• Superselective embolisation is essential to improve outcomes.
• N-butyl cyanoacrylate (NBCA) appears to be a preferred embolic agent with better clinical outcomes.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography</subject><subject>Bleeding</subject><subject>Catheterization, Peripheral - methods</subject><subject>Clinical outcomes</subject><subject>Colon</subject><subject>Complications</subject><subject>Diagnostic Radiology</subject><subject>Diagnostic systems</subject><subject>Embolization, Therapeutic - methods</subject><subject>Female</subject><subject>Gastrointestinal Hemorrhage - diagnosis</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Gastrointestinal tract</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Identification methods</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neuroradiology</subject><subject>Patients</subject><subject>Radiology</subject><subject>Rectum</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Signs and symptoms</subject><subject>Small intestine</subject><subject>Success</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>Vascular-Interventional</subject><subject>Young Adult</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kU1P3DAQhi1UBFvgB3BBkXrhYhjHTmxzq1alRVqJC5wtx5nNBiXx1naE-Pf1KttWqtTLzGGeeefjJeSawR0DkPcRgHOgwBStKiWpOiErJnhJGSjxiaxAc0Wl1uKcfI7xDQA0E_KMnJdal3UJ1Yp0L8FO0dm0w4ShsCHH3g4Fjo0f-mhT76di63PFzQmLwb9nqrMxBd9PCWPqp0zvLI4-hJ3t8KGwReynbkDqcEoBi5jm9uOSnG7tEPHqmC_I6-O3l_UPunn-_rT-uqGOyzJRxVBz5KJmgrWMo2sY40JoBFlXqtYN37bKidY2TkGNdSNZDZUWstRCWcf4BblddPfB_5zzfmbso8NhsBP6OZp8tFQSeFVn9Ms_6JufQz5nocpKa1CZYgvlgo8x4NbsQz_a8GEYmIMLZnHBZBfMwQVz6Lk5Ks_NiO2fjt9vz0C5ADGXpg7D39H_V_0F8_WSrg</recordid><startdate>2019</startdate><enddate>2019</enddate><creator>Kwon, Joon Ho</creator><creator>Kim, Man-Deuk</creator><creator>Han, Kichang</creator><creator>Choi, Woosun</creator><creator>Kim, Yong Seek</creator><creator>Lee, Junhyung</creator><creator>Kim, Gyoung Min</creator><creator>Won, Jong Yun</creator><creator>Lee, Do Yun</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3575-5847</orcidid></search><sort><creationdate>2019</creationdate><title>Transcatheter arterial embolisation for acute lower gastrointestinal haemorrhage: a single-centre study</title><author>Kwon, Joon Ho ; Kim, Man-Deuk ; Han, Kichang ; Choi, Woosun ; Kim, Yong Seek ; Lee, Junhyung ; Kim, Gyoung Min ; Won, Jong Yun ; Lee, Do Yun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-81e93e346141d13ecb113449e0765869b3fd8c4dabc806e6b716059472948ac13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiography</topic><topic>Bleeding</topic><topic>Catheterization, Peripheral - methods</topic><topic>Clinical outcomes</topic><topic>Colon</topic><topic>Complications</topic><topic>Diagnostic Radiology</topic><topic>Diagnostic systems</topic><topic>Embolization, Therapeutic - methods</topic><topic>Female</topic><topic>Gastrointestinal Hemorrhage - diagnosis</topic><topic>Gastrointestinal Hemorrhage - therapy</topic><topic>Gastrointestinal tract</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Identification methods</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neuroradiology</topic><topic>Patients</topic><topic>Radiology</topic><topic>Rectum</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Signs and symptoms</topic><topic>Small intestine</topic><topic>Success</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>Vascular-Interventional</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwon, Joon Ho</creatorcontrib><creatorcontrib>Kim, Man-Deuk</creatorcontrib><creatorcontrib>Han, Kichang</creatorcontrib><creatorcontrib>Choi, Woosun</creatorcontrib><creatorcontrib>Kim, Yong Seek</creatorcontrib><creatorcontrib>Lee, Junhyung</creatorcontrib><creatorcontrib>Kim, Gyoung Min</creatorcontrib><creatorcontrib>Won, Jong Yun</creatorcontrib><creatorcontrib>Lee, Do Yun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwon, Joon Ho</au><au>Kim, Man-Deuk</au><au>Han, Kichang</au><au>Choi, Woosun</au><au>Kim, Yong Seek</au><au>Lee, Junhyung</au><au>Kim, Gyoung Min</au><au>Won, Jong Yun</au><au>Lee, Do Yun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter arterial embolisation for acute lower gastrointestinal haemorrhage: a single-centre study</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2019</date><risdate>2019</risdate><volume>29</volume><issue>1</issue><spage>57</spage><epage>67</epage><pages>57-67</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective
To investigate the safety and efficacy of transcatheter arterial embolisation (TAE) in the management of lower gastrointestinal bleeding (LGIB) and to identify predictors of clinical outcomes.
Methods
Between December 2005 and April 2017, 274 patients underwent diagnostic angiography for signs and symptoms of LGIB; 134 patients with positive angiographic findings were retrospectively analysed. The technical success of TAE and clinical outcomes, including recurrent bleeding, major complications, and in-hospital mortality were evaluated. The associations of various clinical and technical factors with clinical outcomes were analysed. Predictors for clinical outcomes were evaluated using univariate and multivariate logistic regression analyses.
Results
A total of 134 patients (mean age, 59.7 years; range, 14–82 years) underwent TAE for LGIB. The bleeding foci were in the small bowel in 74 patients (55.2%), colon in 35 (26.1%), and rectum in 25 (18.7%). Technical success was achieved in 127 patients (94.8%). The clinical success rate was 63% (80/127). The rates of recurrent bleeding, major complications, and in-hospital mortality were 27.9% (31/111), 18.5% (23/124), and 23.6% (33/127), respectively. Superselective embolisation and the use of
N
-butyl cyanoacrylate (NBCA) were significant prognostic factors associated with reduced recurrent bleeding (OR, 0.258;
p
= 0.004 for superselective embolisation, OR, 0.313;
p
= 0.01 for NBCA) and fewer major complications (OR, 0.087;
p
˂ 0.001 for superselective embolisation, OR, 0.272;
p
= 0.007 for NBCA).
Conclusions
TAE is an effective treatment modality for LGIB. Superselective embolisation is essential to reduce recurrent bleeding and avoid major complications. NBCA appears to be a preferred embolic agent.
Key Points
• Transcatheter arterial Embolisation (TAE) is a safe and effective treatment for lower gastrointestinal tract haemorrhage.
• Superselective embolisation is essential to improve outcomes.
• N-butyl cyanoacrylate (NBCA) appears to be a preferred embolic agent with better clinical outcomes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29926205</pmid><doi>10.1007/s00330-018-5587-8</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-3575-5847</orcidid></addata></record> |
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| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2019, Vol.29 (1), p.57-67 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2057870356 |
| source | Springer Link |
| subjects | Acute Disease Adolescent Adult Aged Aged, 80 and over Angiography Bleeding Catheterization, Peripheral - methods Clinical outcomes Colon Complications Diagnostic Radiology Diagnostic systems Embolization, Therapeutic - methods Female Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - therapy Gastrointestinal tract Hemorrhage Humans Identification methods Imaging Internal Medicine Interventional Radiology Male Medicine Medicine & Public Health Middle Aged Mortality Neuroradiology Patients Radiology Rectum Regression analysis Retrospective Studies Signs and symptoms Small intestine Success Treatment Outcome Ultrasound Vascular-Interventional Young Adult |
| title | Transcatheter arterial embolisation for acute lower gastrointestinal haemorrhage: a single-centre study |
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