Embolization of superior rectal arteries for transfusion dependent haemorrhoidal bleeding in severely cardiopathic patients: a new field of application of the “emborrhoid” technique
Hemorrhoids are one of the most common anorectal diseases, with a prevalence of 4–86% . One of the main symptoms is recurrent painless anorectal bleeding during defecation, which, if overlooked, can cause anemia. Embolization of the superior rectal arteries (“emborrhoid technique”) with coils was recently proposed by Vidal et al.  as a less invasive alternative to well-known conventional surgical treatments for hemorrhoids causing significant complication. This technique has been shown to be effective, safe, and well tolerated in patients with hemorrhoidal bleeding unsuitable or unwilling to undergo surgical treatment . Anticoagulant and antiplatelet therapy is crucial in many patients with chronic heart disease to avoid life-threatening thrombotic complications after cardiac surgery, coronary artery stenting, or left ventricular assist devices (LVAD) implantation, in patients experiencing heart failure. Treatment of severe hemorrhoidal bleeding in this group of...
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.