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Upper GI Bleeding

  • Chapter
Vascular Embolotherapy

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

5.12 Conclusion

Transcatheter embolization has the potential to further reduce mortality in acute non-variceal upper GIH, provided we continue our efforts to optimize the occlusive technique and enhance the haemostatic effect. Furthermore, increasing angiographic sensitivity, which in our opinion depends much on the alertness of the involved endoscopist, will reduce the need for non-targeted blind embolization. Whether transcatheter techniques can replace surgical salvage in upper GIH remains to be established by prospective randomized studies.

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References

  1. Katzen BT, McSweeney J (1975) Therapeutic transluminal arterial embolization for bleeding in the upper part of the gastrointestinal tract. Surg Gynecol Obstet 141:523–527

    CAS  PubMed  Google Scholar 

  2. Reuter SR, Chuang VP, Bree RL (1975) Selective arterial embolization for control of massive upper gastrointestinal bleeding. Am J Roentgenol Radium Ther Nucl Med 125:119–126

    CAS  PubMed  Google Scholar 

  3. Goldman ML, Land WC, Bradley EL, et al. (1976) Transcatheter therapeutic embolization in the management of massive upper gastrointestinal bleeding. Radiology 120:513–521

    CAS  PubMed  Google Scholar 

  4. Goldman ML, Freeny PC, Tallman JM, et al. (1978) Transcatheter vascular occlusion therapy with isobutyl 2-cyanoacrylate (bucrylate) for control of massive upper-gastrointestinal bleeding. Radiology 129:41–49

    CAS  PubMed  Google Scholar 

  5. Castaneda-Zuniga WR, Jauregui H, Rysavy J, et al. (1978) Selective transcatheter embolization of the upper gastrointestinal tract: an experimental study. Radiology 127:81–83

    CAS  PubMed  Google Scholar 

  6. Defreyne L, Vanlangenhove P, De Vos M, et al. (2001) Embolization as a first approach with endoscopically unmanageable acute nonvariceal gastrointestinal hemorrhage. Radiology 218:739–748

    CAS  PubMed  Google Scholar 

  7. Aina R, Oliva VL, Therasse E, et al. (2001) Arterial embolotherapy for upper gastrointestinal hemorrhage: outcome assessment. J Vasc Interv Radiol 12:195–200

    CAS  PubMed  Google Scholar 

  8. Schenker MP, Duszak RJ, Soulen MC, et al. (2001) Upper gastrointestinal hemorrhage and transcatheter embolotherapy: clinical and technical factors impacting success and survival. J Vasc Interv Radiol 12:1263–1271

    CAS  PubMed  Google Scholar 

  9. Patel TH, Cordts PR, Abcarian P, et al. (2001) Will transcatheter embolotherapy replace surgery in the treatment of gastrointestinal bleeding?(2)(2). Curr Surg 58:323–327

    Article  PubMed  Google Scholar 

  10. Ripoll C, Banares R, Beceiro I, et al. (2004) Comparison of transcatheter arterial embolization and surgery for treatment of bleeding peptic ulcer after endoscopic treatment failure. J Vasc Interv Radiol 15:447–450

    PubMed  Google Scholar 

  11. Rockall TA, Logan RF, Devlin HB, et al. (1995) Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage. BMJ 311:222–226

    CAS  PubMed  Google Scholar 

  12. van Leerdam ME, Vreeburg EM, Rauws EA, et al. (2003) Acute upper GI bleeding: did anything change? Time trend analysis of incidence and outcome of acute upper GI bleeding between 1993/1994 and 2000. Am J Gastroenterol 98:1494–1499

    Article  PubMed  Google Scholar 

  13. Longstreth GF (1995) Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 90:206–210

    CAS  PubMed  Google Scholar 

  14. Vreeburg EM, Snel P, de Bruijne JW, et al. (1997) Acute upper gastrointestinal bleeding in the Amsterdam area: incidence, diagnosis, and clinical outcome. Am J Gastroenterol 92:236–243

    CAS  PubMed  Google Scholar 

  15. Barkun A, Bardou M, Marshall JK (2003) Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 139:843–857

    PubMed  Google Scholar 

  16. Blatchford O, Murray WR, Blatchford M (2000) A risk score to predict need for treatment for upper-gastrointestinal haemorrhage [In Process Citation]. Lancet 356:1318–1321

    Article  CAS  PubMed  Google Scholar 

  17. Cameron EA, Pratap JN, Sims TJ, et al. (2002) Three-year prospective validation of a pre-endoscopic risk stratification in patients with acute upper-gastrointestinal haemorrhage. Eur J Gastroenterol Hepatol 14:497–501

    Article  PubMed  Google Scholar 

  18. Rockall TA, Logan RF, Devlin HB, et al. (1996) Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of Acute Upper Gastrointestinal Haemorrhage [see comments]. Lancet 347:1138–1140

    Article  CAS  PubMed  Google Scholar 

  19. Vreeburg EM, Terwee CB, Snel P, et al. (1999) Validation of the Rockall risk scoring system in upper gastrointestinal bleeding. Gut 44:331–335

    Article  CAS  PubMed  Google Scholar 

  20. Phang TS, Vornik V, Stubbs R (2000) Risk assessment in upper gastrointestinal haemorrhage: implications for resource utilisation. N Z Med J 113:331–333

    CAS  PubMed  Google Scholar 

  21. Oei TT, Dulai GS, Gralnek IM, et al. (2002) Hospital care for low-risk patients with acute, nonvariceal upper GI hemorrhage: a comparison of neighboring community and tertiary care centers. Am J Gastroenterol 97:2271–2278

    Article  PubMed  Google Scholar 

  22. Cook DJ, Guyatt GH, Salena BJ, et al. (1992) Endoscopic therapy for acute nonvariceal upper gastrointestinal hemorrhage: a meta-analysis. Gastroenterology 102:139–148

    CAS  PubMed  Google Scholar 

  23. Sung JJ, Chan FK, Lau JY, et al. (2003) The effect of endoscopic therapy in patients receiving omeprazole for bleeding ulcers with nonbleeding visible vessels or adherent clots: a randomized comparison. Ann Intern Med 139:237–243

    CAS  PubMed  Google Scholar 

  24. Enns RA, Gagnon YM, Rioux KP, et al. (2003) Cost-effectiveness in Canada of intravenous proton pump inhibitors for all patients presenting with acute upper gastrointestinal bleeding. Aliment Pharmacol Ther 17:225–233

    Article  CAS  PubMed  Google Scholar 

  25. Rauws EA, Tytgat GN (1990) Cure of duodenal ulcer associated with eradication of Helicobacter pylori. Lancet 335:1233–1235

    Article  CAS  PubMed  Google Scholar 

  26. Gisbert JP, Khorrami S, Carballo F, et al. (2004) H. pylori eradication therapy vs. antisecretory non-eradication therapy (with or without long-term maintenance antisecretory therapy) for the prevention of recurrent bleeding from peptic ulcer. Cochrane Database Syst Rev 2:CD004062

    Google Scholar 

  27. Frossard JL, Spahr L, Queneau PE, et al. (2002) Erythromycin intravenous bolus infusion in acute upper gastrointestinal bleeding: a randomized, controlled, double-blind trial. Gastroenterology 123:17–23

    Article  CAS  PubMed  Google Scholar 

  28. Coffin B, Pocard M, Panis Y, et al. (2002) Erythromycin improves the quality of EGD in patients with acute upper GI bleeding: a randomized controlled study. Gastrointest Endosc 56:174–179

    Article  PubMed  Google Scholar 

  29. Lee YC, Wang HP, Yang CS, et al. (2002) Endoscopic hemostasis of a bleeding marginal ulcer: hemoclipping or dual therapy with epinephrine injection and heater probe thermocoagulation. J Gastroenterol Hepatol 17:1220–1225

    Article  PubMed  Google Scholar 

  30. Park CH, Sohn YH, Lee WS, et al. (2003) The usefulness of endoscopic hemoclipping for bleeding Dieulafoy lesions. Endoscopy 35:388–392

    Article  CAS  PubMed  Google Scholar 

  31. Yamaguchi Y, Yamato T, Katsumi N, et al. (2001) Endoscopic hemoclipping for upper GI bleeding due to Mallory-Weiss syndrome. Gastrointest Endosc 53:427–430

    Article  CAS  PubMed  Google Scholar 

  32. Kantsevoy SV, Cruz-Correa MR, Vaughn CA, et al. (2003) Endoscopic cryotherapy for the treatment of bleeding mucosal vascular lesions of the GI tract: a pilot study. Gastrointest Endosc 57:403–406

    Article  PubMed  Google Scholar 

  33. Jensen DM, Kovacs TO, Jutabha R, et al. (2002) Randomized trial of medical or endoscopic therapy to prevent recurrent ulcer hemorrhage in patients with adherent clots. Gastroenterology 123:407–413

    Article  PubMed  Google Scholar 

  34. Lau JY, Sung JJ, Lam YH, et al. (1999) Endoscopic retreatment compared with surgery in patients with recurrent bleeding after initial endoscopic control of bleeding ulcers. N Engl J Med 340:751–756

    Article  CAS  PubMed  Google Scholar 

  35. Marmo R, Rotondano G, Bianco MA, et al. (2003) Outcome of endoscopic treatment for peptic ulcer bleeding: is a second look necessary? A meta-analysis. Gastrointest Endosc 57:62–67

    Article  PubMed  Google Scholar 

  36. Chiu PW, Lam CY, Lee SW, et al. (2003) Effect of scheduled second therapeutic endoscopy on peptic ulcer rebleeding: a prospective randomised trial. Gut 52:1403–1407

    Article  CAS  PubMed  Google Scholar 

  37. Romagnuolo J (2004) Routine second look endoscopy: ineffective, costly and potentially misleading. Can J Gastroenterol 18:401–404

    PubMed  Google Scholar 

  38. Rollhauser C, Fleischer DE (2004) Nonvariceal upper gastrointestinal bleeding. Endoscopy 36:52–58

    Article  CAS  PubMed  Google Scholar 

  39. Laine LA, Peterson WL (1994) Bleeding peptic ulcer. N Engl J Med 331:717–727

    Article  CAS  PubMed  Google Scholar 

  40. Elta GH (2002) Acute nonvariceal upper gastrointestinal hemorrhage. Curr Treat Options Gastroenterol 5:147–152

    PubMed  Google Scholar 

  41. Monig SP, Lubke T, Baldus SE, et al. (2002) Early elective surgery for bleeding ulcer in the posterior duodenal bulb. Own results and review of the literature. Hepatogastroenterology 49:416–418

    PubMed  Google Scholar 

  42. Conrad SA (2002) Acute upper gastrointestinal bleeding in critically ill patients: causes and treatment modalities. Crit Care Med 30:S365–368

    Article  PubMed  Google Scholar 

  43. Funaki B (2002) Endovascular intervention for the treatment of acute arterial gastrointestinal hemorrhage. Gastroenterol Clin North Am 31:701–713

    Article  PubMed  Google Scholar 

  44. Aabakken L (2001) Nonvariceal upper gastrointestinal bleeding. Endoscopy 33:16–23

    Article  CAS  PubMed  Google Scholar 

  45. Huang CS, Lichtenstein DR (2003) Nonvariceal upper gastrointestinal bleeding. Gastroenterol Clin North Am 32:1053–1078

    Article  PubMed  Google Scholar 

  46. Cheng CL, Lee CS, Liu NJ, et al. (2002) Overlooked lesions at emergency endoscopy for acute nonvariceal upper gastrointestinal bleeding. Endoscopy 34:527–530

    Article  PubMed  Google Scholar 

  47. Koval G, Benner KG, Rosch J, et al. (1987) Aggressive angiographic diagnosis in acute lower gastrointestinal hemorrhage. Dig Dis Sci 32:248–253

    Article  CAS  PubMed  Google Scholar 

  48. Dempsey DT, Burke DR, Reilly RS, et al. (1990) Angiography in poor-risk patients with massive nonvariceal upper gastrointestinal bleeding. Am J Surg 159:282–286

    CAS  PubMed  Google Scholar 

  49. Walsh RM, Anain P, Geisinger M, et al. (1999) Role of angiography and embolization for massive gastroduodenal hemorrhage. J Gastrointest Surg 3:61–65; discussion 66

    Article  CAS  PubMed  Google Scholar 

  50. Nicholson AA, Ettles DF, Hartley JE, et al. (1998) Transcatheter coil embolotherapy: a safe and effective option for major colonic haemorrhage. Gut 43:79–84

    Article  CAS  PubMed  Google Scholar 

  51. Defreyne L, Vanlangenhove P, Decruyenaere J, et al. (2003) Outcome of acute nonvariceal gastrointestinal haemorrhage after nontherapeutic arteriography compared with embolization. Eur Radiol 13:2604–2614

    Article  PubMed  Google Scholar 

  52. Whitaker SC, Gregson RH (1993) The role of angiography in the investigation of acute or chronic gastrointestinal haemorrhage. Clin Radiol 47:382–388

    CAS  PubMed  Google Scholar 

  53. Wagner HJ, Kalinowski M, Klose KJ, et al. (2001) The use of gadolinium chelates for X-ray digital subtraction angiography. Invest Radiol 36:257–265

    Article  CAS  PubMed  Google Scholar 

  54. Nusbaum M, Baum S (1963) Radiographic demonstration of unknown sites of gastrointestinal bleeding. Surg Forum 14:374–375

    CAS  PubMed  Google Scholar 

  55. Grace DM, Gold RE (1978) Angiography in determining the cause and treatment of gastrointestinal bleeding. Can J Surg 21:171–174

    CAS  PubMed  Google Scholar 

  56. Thorne DA, Datz FL, Remley K, et al. (1987) Bleeding rates necessary for detecting acute gastrointestinal bleeding with technetium-99m-labeled red blood cells in an experimental model. J Nucl Med 28:514–520

    CAS  PubMed  Google Scholar 

  57. Sos TA, Lee JG, Wixson D, et al. (1978) Intermittent bleeding from minute to minute in acute massive gastrointestinal hemorrhage: arteriographic demonstration. AJR Am J Roentgenol 131:1015–1017

    CAS  PubMed  Google Scholar 

  58. De Wispelaere JF, De Ronde T, Trigaux JP, et al. (2002) Duodenal ulcer hemorrhage treated by embolization: results in 28 patients. Acta Gastroenterol Belg 65:6–11

    PubMed  Google Scholar 

  59. Rosch J, Keller FS, Wawrukiewicz AS, et al. (1982) Pharmacoangiography in the diagnosis of recurrent massive lower gastrointestinal bleeding. Radiology 145:615–619

    CAS  PubMed  Google Scholar 

  60. Glickerman DJ, Kowdley KV, Rosch J (1988) Urokinase in gastrointestinal tract bleeding. Radiology 168:375–376

    CAS  PubMed  Google Scholar 

  61. Ryan JM, Key SM, Dumbleton SA, et al. (2001) Nonlocalized lower gastrointestinal bleeding: provocative bleeding studies with intraarterial tPA, heparin, and tolazoline. J Vasc Interv Radiol 12:1273–1277

    CAS  PubMed  Google Scholar 

  62. Hawkins IF, Caridi JG (1998) Carbon dioxide (CO2) digital subtraction angiography: 26-year experience at the University of Florida. Eur Radiol 8:391–402

    Article  CAS  PubMed  Google Scholar 

  63. Textor HJ, Wilhelm K, Strunk H, et al. (1997) [The diagnosis of intra-abdominal hemorrhages with CO2 as the contrast medium.] Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 166:51–53

    Article  CAS  PubMed  Google Scholar 

  64. Sandhu C, Buckenham TM, Belli AM (1999) Using CO2-enhanced arteriography to investigate acute gastrointestinal hemorrhage. AJR Am J Roentgenol 173:1399–1401

    CAS  PubMed  Google Scholar 

  65. Rundback JH, Shah PM, Wong J, et al. (1997) Livedo reticularis, rhabdomyolysis, massive intestinal infarction, and death after carbon dioxide arteriography. J Vasc Surg 26:337–340

    Article  CAS  PubMed  Google Scholar 

  66. Spinosa DJ, Matsumoto AH, Angle JF, et al. (1998) Transient mesenteric ischemia: a complication of carbon dioxide angiography [see comments]. J Vasc Interv Radiol 9:561–564

    Article  CAS  PubMed  Google Scholar 

  67. Alavi A, Dann RW, Baum S, et al. (1977) Scintigraphic detection of acute gastrointestinal bleeding. Radiology 124:753–756

    CAS  PubMed  Google Scholar 

  68. Pavel DG, Zimmer M, Patterson VN (1977) In vivo labeling of red blood cells with 99mTc: a new approach to blood pool visualization. J Nucl Med 18:305–308

    CAS  PubMed  Google Scholar 

  69. Markisz JA, Front D, Royal HD, et al. (1982) An evaluation of 99mTc-labeled red blood cell scintigraphy for the detection and localization of gastrointestinal bleeding sites. Gastroenterology 83:394–398

    CAS  PubMed  Google Scholar 

  70. Zettinig G, Staudenherz A, Leitha T (2002) The importance of delayed images in gastrointestinal bleeding scintigraphy. Nucl Med Commun 23:803–808

    Article  PubMed  Google Scholar 

  71. Jacobson AF (1991) Delayed positive gastrointestinal bleeding studies with technetium-99m-red blood cells: utility of a second injection. J Nucl Med 32:330–332

    CAS  PubMed  Google Scholar 

  72. McKusick KA, Froelich J, Callahan RJ, et al. (1981) 99mTc red blood cells for detection of gastrointestinal bleeding: experience with 80 patients. AJR Am J Roentgenol 137:1113–1118

    CAS  PubMed  Google Scholar 

  73. Gupta S, Luna E, Kingsley S, et al. (1984) Detection of gastrointestinal bleeding by radionuclide scintigraphy. Am J Gastroenterol 79:26–31

    CAS  PubMed  Google Scholar 

  74. Nicholson ML, Neoptolemos JP, Sharp JF, et al. (1989) Localization of lower gastrointestinal bleeding using in vivo technetium-99m-labelled red blood cell scintigraphy. Br J Surg 76:358–361

    CAS  PubMed  Google Scholar 

  75. Hunter JM, Pezim ME (1990) Limited value of technetium 99m-labeled red cell scintigraphy in localization of lower gastrointestinal bleeding. Am J Surg 159:504–506

    CAS  PubMed  Google Scholar 

  76. Bentley DE, Richardson JD (1991) The role of tagged red blood cell imaging in the localization of gastrointestinal bleeding. Arch Surg 126:821–824

    CAS  PubMed  Google Scholar 

  77. Voeller GR, Bunch G, Britt LG (1991) Use of technetium-labeled red blood cell scintigraphy in the detection and management of gastrointestinal hemorrhage. Surgery 110:799–804

    CAS  PubMed  Google Scholar 

  78. Ernst O, Bulois P, Saint-Drenant S, et al. (2003) Helical CT in acute lower gastrointestinal bleeding. Eur Radiol 13:114–117

    PubMed  Google Scholar 

  79. Rose SC, Dunnick NR (1987) Angiographic treatment of gastrointestinal hemorrhage: comparison of vasopressin infusion and embolization. Invest Radiol 22:354–356

    CAS  PubMed  Google Scholar 

  80. Gomes AS, Lois JF, McCoy RD (1986) Angiographic treatment of gastrointestinal hemorrhage: comparison of vasopressin infusion and embolization. AJR Am J Roentgenol 146:1031–1037

    CAS  PubMed  Google Scholar 

  81. Pennoyer WP, Vignati PV, Cohen JL (1996) Management of angiogram positive lower gastrointestinal hemorrhage: long term follow-up of non-operative treatments. Int J Colorectal Dis 11:279–282

    Article  CAS  PubMed  Google Scholar 

  82. Darcy M (2003) Treatment of lower gastrointestinal bleeding: vasopressin infusion versus embolization. J Vasc Interv Radiol 14:535–543

    PubMed  Google Scholar 

  83. Ring EJ, Oleaga JA, Frieman D, et al. (1977) Pitfalls in the angiographic management of hemorrhage: hemodynamic considerations. AJR Am J Roentgenol 129:1007–1013

    CAS  PubMed  Google Scholar 

  84. Peck DJ, McLoughlin RF, Hughson MN, et al. (1998) Percutaneous embolotherapy of lower gastrointestinal hemorrhage. JVIR 9:747–757

    CAS  PubMed  Google Scholar 

  85. Bandi R, Shetty PC, Sharma RP, et al. (2001) Superselective arterial embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 12:1399–1405

    CAS  PubMed  Google Scholar 

  86. Cynamon J, Atar E, Steiner A, et al. (2003) Catheter-induced vasospasm in the treatment of acute lower gastrointestinal bleeding. J Vasc Interv Radiol 14:211–216

    PubMed  Google Scholar 

  87. Lang EV, Picus D, Marx MV, et al. (1992) Massive upper gastrointestinal hemorrhage with normal findings on arteriography: value of prophylactic embolization of the left gastric artery. AJR Am J Roentgenol 158:547–549

    CAS  PubMed  Google Scholar 

  88. Gordon B, Lossef SV, Jelinger E, et al. (1991) Embolotherapy for small bowel hemorrhage from metastatic renal cell carcinoma: case report. Cardiovasc Intervent Radiol 14:311–313

    CAS  PubMed  Google Scholar 

  89. Blake MA, Owens A, O’Donoghue DP, et al. (1995) Embolotherapy for massive upper gastrointestinal haemorrhage secondary to metastatic renal cell carcinoma: report of three cases. Gut 37:835–837

    CAS  PubMed  Google Scholar 

  90. Granmayeh M, Wallace S, Schwarten D (1979) Transcatheter occlusion of the gastroduodenal artery. Radiology 131:59–64

    CAS  PubMed  Google Scholar 

  91. Palmaz JC, Walter JF, Cho KJ (1984) Therapeutic embolization of the small-bowel arteries. Radiology 152:377–382

    CAS  PubMed  Google Scholar 

  92. Morris DC, Nichols DM, Connell DG, et al. (1986) Embolization of the left gastric artery in the absence of angiographic extravasation. Cardiovasc Intervent Radiol 9:195–198

    CAS  PubMed  Google Scholar 

  93. Walker WJ, Goldiin AR, Shaff MI, et al. (1980) Per catheter control of haemorrhage from the superior and inferior mesenteric arteries. Clin Radiol 31:71–80

    Article  CAS  PubMed  Google Scholar 

  94. Lang EK (1992) Transcatheter embolization in management of hemorrhage from duodenal ulcer. Long-term results and complications. Radiology 182:703–707

    CAS  PubMed  Google Scholar 

  95. Kish JW, Katz MD, Marx MV, et al. (2004) N-butyl cyanoacrylate embolization for control of acute arterial hemorrhage. J Vasc Interv Radiol 15:689–695

    PubMed  Google Scholar 

  96. Yamakado K, Nakatsuka A, Tanaka N, et al. (2000) Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylate. J Vasc Interv Radiol 11:66–72

    CAS  PubMed  Google Scholar 

  97. Latshaw RF, Pearlman RL, Schaitkin BM, et al. (1985) Intraarterial ethanol as a long-term occlusive agent in renal, hepatic, and gastrosplenic arteries of pigs. Cardiovasc Intervent Radiol 8:24–30

    CAS  PubMed  Google Scholar 

  98. Defreyne L, De Schrijver I, Vanlangenhove P, et al. (2002) Detachable balloon embolization of an aneurysmal gastroduodenal arterioportal fistula. Eur Radiol 12:231–236

    Article  PubMed  Google Scholar 

  99. Hvizda JL, Wood BJ (2001) Selective transcatheter platelet infusion for gastrointestinal bleeding after failed embolization with resistant thrombocytopenia. J Vasc Interv Radiol 12:549–550

    CAS  PubMed  Google Scholar 

  100. Madoff DC, Wallace MJ, Lichtiger B, et al. (2004) Intraarterial platelet infusion for patients with intractable gastrointestinal hemorrhage and severe refractory thrombocytopenia. J Vasc Interv Radiol 15:393–397

    PubMed  Google Scholar 

  101. Carreira JM, Reyes R, Pulido-Duque JM, et al. (1999) Diagnosis and percutaneous treatment of gastrointestinal hemorrhage. Long-term experience. Rev Esp Enferm Dig 91:684–692

    CAS  PubMed  Google Scholar 

  102. Encarnacion CE, Kadir S, Beam CA, et al. (1992) Gastrointestinal bleeding: treatment with gastrointestinal arterial embolization. Radiology 183:505–508

    CAS  PubMed  Google Scholar 

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Defreyne, L. (2006). Upper GI Bleeding. In: Golzarian, J., Sun, S., Sharafuddin, M.J. (eds) Vascular Embolotherapy. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-33256-1_5

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