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Techniques in Coloproctology

, Volume 22, Issue 6, pp 453–455 | Cite as

Embolization of superior rectal arteries for transfusion dependent haemorrhoidal bleeding in severely cardiopathic patients: a new field of application of the “emborrhoid” technique

  • M. Venturini
  • P. De NardiEmail author
  • P. Marra
  • M. Panzeri
  • G. Brembilla
  • F. Morelli
  • F. Melchiorre
  • F. De Cobelli
  • A. Del Maschio
Technical Advances

Introduction

Hemorrhoids are one of the most common anorectal diseases, with a prevalence of 4–86% [1]. 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. [2] 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 [3]. 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...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

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

Informed consent was obtained from all individual participants included in the study.

References

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    Zakharchenko A, Kaitoukov Y, Vinnik Y et al (2016) Safety and efficacy of superior rectal artery embolization with particles and metallic coils for the treatment of hemorrhoids (emborrhoid technique). Diagn Interv Imaging 97:1079–1084CrossRefPubMedGoogle Scholar
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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • M. Venturini
    • 1
  • P. De Nardi
    • 2
    Email author
  • P. Marra
    • 1
  • M. Panzeri
    • 1
  • G. Brembilla
    • 1
  • F. Morelli
    • 3
  • F. Melchiorre
    • 4
  • F. De Cobelli
    • 1
    • 5
  • A. Del Maschio
    • 1
    • 5
  1. 1.Department of RadiologySan Raffaele Scientific InstituteMilanItaly
  2. 2.Department of Gastrointestinal SurgerySan Raffaele Scientific InstituteMilanItaly
  3. 3.Department of RadiologySan Paolo HospitalMilanItaly
  4. 4.Department of RadiologySant’Andrea HospitalVercelliItaly
  5. 5.Vita-Salute San Raffaele UniversityMilanItaly

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