The Role of Transcatheter Arterial Embolization in the Management of Nonvariceal Upper Gastrointestinal Bleeding

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Dan E Orron1, Allan I Bloom2, Ziv Neeman3

  • 1Department of Radiology, Carmel Medical Center, Michal Street, Haifa 34362, Israel.

Gastrointestinal Endoscopy Clinics of North America
|June 24, 2018
PubMed

Insights

Catheter angiography, a minimally invasive technique, is crucial for diagnosing and treating nonvariceal upper gastrointestinal bleeding. Advances in microcatheter technology enable precise embolization for effective patient outcomes.

Area of Science:

  • Interventional Radiology
  • Gastroenterology

Background:

  • Catheter angiography has been a cornerstone for diagnosing and treating nonvariceal upper gastrointestinal bleeding for nearly five decades.
  • Technological innovations have led to the development of microcatheters, enhancing procedural precision.

Purpose of the Study:

  • To review the diagnostic and therapeutic applications of angiography in nonvariceal upper gastrointestinal bleeding.
  • To discuss the angiographic findings associated with various bleeding etiologies.
  • To outline the selection criteria for embolic agents and expected outcomes of embolization.

Main Methods:

  • Review of diagnostic and therapeutic angiography techniques.
  • Analysis of angiographic appearances of different nonvariceal upper gastrointestinal bleeding causes.
  • Evaluation of embolic agent selection and transcatheter arterial embolization outcomes.

Main Results:

  • Microcatheters allow selective catheterization of third-order arterial branches.
  • A wide range of embolic agents can be delivered with precision.
  • Angiography provides characteristic appearances for various bleeding etiologies.

Conclusions:

  • Transcatheter arterial embolization is an effective treatment for nonvariceal upper gastrointestinal bleeding.
  • Case-specific selection of embolic agents influences treatment success.
  • Continued technological advancements improve diagnostic and therapeutic angiography capabilities.

Keywords:
ArterialEmbolic agentsEmbolizationHemorrhageInterventional radiologyNonvariceal upper gastrointestinal bleeding

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