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Date Published: 25/09/2023
Online Published: 25/09/2023
Abstract Views: 166
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DOI: https://doi.org/10.55046/vjrnm.52.957.2023
Issue
No. 52 (2023)
Section
Scientific research
How to Cite
Tran, D. K. V., Vo, T. D., Pham, N. M. T., Dang, Q. V., & Nguyen , H. B. (2023). Transarterial embolization in the management of acute lower gastrointestinal bleeding: an initial result . Vietnamese Journal of Radiology and Nuclear Medicine, 52, 4-9. https://doi.org/10.55046/vjrnm.52.957.2023

Transarterial embolization in the management of acute lower gastrointestinal bleeding: an initial result

Tran Doan Khac Viet1,, Vo Tan Duc1, Pham Ngoc Minh Triet1, Dang Quoc Viet2, Nguyen Hoang Bac2
1 Department of Diagnostic Imaging, University of Medicine and Pharmacy Hospital, Ho Chi Minh City
2 Department of General Surgery, Ho Chi Minh City University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Acute lower gastrointestinal bleeding (ALGB) is an urgent, potentially life-threatening emergency, especially in case endoscopy is not identifiable or uncontrollable in management bleeding. Following the development of technology and applying minimal invasive modalities, endovascular treatment is more and more to be applied.


Primary endpoint: Figure out the rate of technical success, the clinical success and the complication relating to bowel ischemia of embolization in ALGB. Secondary endpoint: Figure out the rate of negative bleeding finding angiograms in diagnosis of ALGB Method: Retrospective cohort study


Results: From 01/2019 to 01/2022, 23 embolisms were performed in total 35 procedures of 24 patients. There were 12 angiographies with negative bleeding finding result (34.3%). In embolization procedure, first embolisms were 21/23 and two procedures were re-embolism. The rate of technical success after first embolisms was 95.2% and clinical success reaches 76.2%. There was no major complication relating to bowel ischemia.


Conclusion: Transcatheter angiographic embolization is a safe and effective management for acute lower gastrointestinal bleeding with minimal invasive.

Article Details

Keywords

acute lower gastrointestinal bleeding, embolization, endovascular

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