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Superselective arterial embolisation with a liquid polyvinyl alcohol copolymer in patients with acute gastrointestinal haemorrhage

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Abstract

Objectives

To evaluate the results of emergency embolisation in acute arterial bleeding of the gastrointestinal tract with a liquid polyvinyl alcohol copolymer from two centres.

Methods

We retrospectively analysed 16 cases (15 patients) of acute arterial bleeding of the gastrointestinal tract where emergency embolotherapy was performed by using the copolymer when acute haemorrhage was not treatable with endoscopic techniques alone. Cause of haemorrhage and technical and clinical success were documented.

Results

Arterial embolotherapy was successful in all 16 cases. The technical success rate was 100%. The cause of bleeding was pancreatitis in four, graft-versus-host disease (GVHD) of the colon in three, malignancy in three, angiodysplasia in two, ulcer in two and panarteritis nodosa and trauma in one each. There were no procedure-related complications. No bowel necrosis occurred because of embolisation. In 13 cases, the patients were discharged in good condition (81%); the three patients with GVHD died because of the underlying disease.

Conclusions

The copolymer seems to have great potential in embolotherapy of acute arterial gastrointestinal bleeding. In our series none of the patients had rebleeding at the site of embolisation and no clinically obvious bowel necrosis occurred.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Sozialstiftung Bamberg, Buger Str. 80, 96049, Bamberg, Germany

    Markus Lenhart & Hans Schneider

  2. Department of Radiology, Klinikum Weiden, Weiden, Germany

    Christian Paetzel

  3. Department of Gastroenterology, Sozialstiftung Bamberg, Bamberg, Germany

    Michael Sackmann

  4. Department of Radiology, University of Regensburg, Regensburg, Germany

    Ernst Michael Jung, Andreas G. Schreyer, Stefan Feuerbach & Niels Zorger

Authors
  1. Markus Lenhart
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  2. Christian Paetzel
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  3. Michael Sackmann
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  4. Hans Schneider
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  5. Ernst Michael Jung
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  6. Andreas G. Schreyer
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  7. Stefan Feuerbach
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  8. Niels Zorger
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Correspondence to Markus Lenhart.

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Lenhart, M., Paetzel, C., Sackmann, M. et al. Superselective arterial embolisation with a liquid polyvinyl alcohol copolymer in patients with acute gastrointestinal haemorrhage. Eur Radiol 20, 1994–1999 (2010). https://doi.org/10.1007/s00330-010-1762-2

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  • DOI: https://doi.org/10.1007/s00330-010-1762-2

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