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Microcoil embolization for acute lower gastrointestinal bleeding.

B Janne d'Othée1, Bertrand Janne d'Othée, Padmaja Surapaneni

  • 1Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215-5400, USA. bjanne@caregroup.harvard.edu

Cardiovascular and Interventional Radiology
|December 6, 2005
PubMed
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Microcoil embolization is a safe and effective treatment for active lower gastrointestinal bleeding, demonstrating high success rates and a low risk of complications. This interventional radiology procedure offers a viable option for managing acute bleeding events.

Area of Science:

  • Interventional Radiology
  • Gastroenterology
  • Vascular Medicine

Background:

  • Lower gastrointestinal (GI) bleeding is a significant clinical challenge.
  • Effective management strategies are crucial for patient outcomes.
  • Microcoil embolization is an emerging interventional technique.

Purpose of the Study:

  • To evaluate the outcomes of microcoil embolization for acute lower GI bleeding.
  • To assess technical success, clinical success, and complication rates.
  • To determine the safety and efficacy of this procedure.

Main Methods:

  • Retrospective study of patients undergoing microcoil embolization for lower GI bleeding.
  • Data collection included baseline, procedural, and outcome parameters.

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  • Follow-up assessed rebleeding, complications, and long-term results.
  • Main Results:

    • Technical success was achieved in 89% of patients.
    • Clinical success was observed in 68% of patients, with rebleeding occurring in 27% of cases, primarily in non-embolized areas.
    • Low rates of major complications, including colonic ischemia (11%), were reported.

    Conclusions:

    • Microcoil embolization is a safe and effective treatment for active lower GI bleeding.
    • The procedure offers high technical and clinical success rates.
    • Risks of mortality, bowel ischemia, and late rebleeding are low.