Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature

Objective: To report the safety and efficacy of trans-arterial embolization (TAE) for upper gastrointestinal bleeding (UGIB) and lower gastrointestinal bleeding (LGIB) due to different etiologies in 91 patients for ten years. Methods: A retrospective analysis of GIB treated between January 2010 and...

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Autores principales:	Federico Fontana, Filippo Piacentino, Christian Ossola, Andrea Coppola, Marco Curti, Edoardo Macchi, Giuseppe De Marchi, Chiara Floridi, Anna Maria Ierardi, Gianpaolo Carrafiello, Sergio Segato, Giulio Carcano, Massimo Venturini
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	gastrointestinal bleeding trans-arterial embolization embolic agents Medicine R
Acceso en línea:	https://doaj.org/article/e35457af19264d0c84b568486c6baf62
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spelling	oai:doaj.org-article:e35457af19264d0c84b568486c6baf622021-11-11T17:36:58ZTranscatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature10.3390/jcm102149792077-0383https://doaj.org/article/e35457af19264d0c84b568486c6baf622021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4979https://doaj.org/toc/2077-0383Objective: To report the safety and efficacy of trans-arterial embolization (TAE) for upper gastrointestinal bleeding (UGIB) and lower gastrointestinal bleeding (LGIB) due to different etiologies in 91 patients for ten years. Methods: A retrospective analysis of GIB treated between January 2010 and December 2020 was performed. TAE was performed using different embolic agents (coils, particles, glue, gelatin sponge, and EVOH-based agents). Technical success, secondary technical success, clinical success, and complications were evaluated. Results: Technical success was achieved in 74/91 (81.32%) patients. Seventeen patients (18.68%) required re-intervention. Secondary technical success was achieved in all cases (100.0%). Clinical success was achieved in 81/91 patients (89.01%). No major complications were recorded; overall, minor complications occurred in 20/91 patients. Conclusions: TAE is a technically feasible and safe therapeutic option for patients with GIB from a known or blind anatomic source where endoscopic therapy has failed or is deemed unfeasible.Federico FontanaFilippo PiacentinoChristian OssolaAndrea CoppolaMarco CurtiEdoardo MacchiGiuseppe De MarchiChiara FloridiAnna Maria IerardiGianpaolo CarrafielloSergio SegatoGiulio CarcanoMassimo VenturiniMDPI AGarticlegastrointestinal bleedingtrans-arterial embolizationembolic agentsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4979, p 4979 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	gastrointestinal bleeding trans-arterial embolization embolic agents Medicine R
spellingShingle	gastrointestinal bleeding trans-arterial embolization embolic agents Medicine R Federico Fontana Filippo Piacentino Christian Ossola Andrea Coppola Marco Curti Edoardo Macchi Giuseppe De Marchi Chiara Floridi Anna Maria Ierardi Gianpaolo Carrafiello Sergio Segato Giulio Carcano Massimo Venturini Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature
description	Objective: To report the safety and efficacy of trans-arterial embolization (TAE) for upper gastrointestinal bleeding (UGIB) and lower gastrointestinal bleeding (LGIB) due to different etiologies in 91 patients for ten years. Methods: A retrospective analysis of GIB treated between January 2010 and December 2020 was performed. TAE was performed using different embolic agents (coils, particles, glue, gelatin sponge, and EVOH-based agents). Technical success, secondary technical success, clinical success, and complications were evaluated. Results: Technical success was achieved in 74/91 (81.32%) patients. Seventeen patients (18.68%) required re-intervention. Secondary technical success was achieved in all cases (100.0%). Clinical success was achieved in 81/91 patients (89.01%). No major complications were recorded; overall, minor complications occurred in 20/91 patients. Conclusions: TAE is a technically feasible and safe therapeutic option for patients with GIB from a known or blind anatomic source where endoscopic therapy has failed or is deemed unfeasible.
format	article
author	Federico Fontana Filippo Piacentino Christian Ossola Andrea Coppola Marco Curti Edoardo Macchi Giuseppe De Marchi Chiara Floridi Anna Maria Ierardi Gianpaolo Carrafiello Sergio Segato Giulio Carcano Massimo Venturini
author_facet	Federico Fontana Filippo Piacentino Christian Ossola Andrea Coppola Marco Curti Edoardo Macchi Giuseppe De Marchi Chiara Floridi Anna Maria Ierardi Gianpaolo Carrafiello Sergio Segato Giulio Carcano Massimo Venturini
author_sort	Federico Fontana
title	Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature
title_short	Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature
title_full	Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature
title_fullStr	Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature
title_full_unstemmed	Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature
title_sort	transcatheter arterial embolization in acute non-variceal gastrointestinal bleedings: a ten-year single-center experience in 91 patients and review of the literature
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e35457af19264d0c84b568486c6baf62
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Transcatheter Arterial Embolization in Acute Non-Variceal Gastrointestinal Bleedings: A Ten-Year Single-Center Experience in 91 Patients and Review of the Literature

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