Outpatient Transradial Emborrhoid Technique: A Pilot Study.

Area of Science:

• Interventional Radiology
• Vascular Surgery
• Gastroenterology

Background:

• Hemorrhoidal disease affects a significant portion of the population, often leading to chronic symptoms and reduced quality of life.
• Traditional treatments for symptomatic hemorrhoids can be invasive and associated with significant recovery times.

Purpose of the Study:

• To evaluate the safety and efficacy of the transradial emborrhoid technique for treating symptomatic hemorrhoids in an outpatient setting.
• To assess the feasibility of performing embolization of the superior rectal artery via a radial artery approach.

Main Methods:

• The transradial emborrhoid technique involved percutaneous catheterization of the radial artery, embolization of superior rectal artery branches using detachable coils.
• Twelve patients with symptomatic hemorrhoids underwent the procedure in an outpatient setting.
• Patients were assessed for discharge criteria 6 hours post-procedure and followed up at 4 weeks.

Main Results:

• The transradial emborrhoid technique was technically successful in all 12 patients.
• No major complications were observed, and all patients met discharge criteria within 6 hours.
• Significant reduction in local edema and hemorrhoidal congestion was noted, with a mean Rorvik score decrease from 31.50 to 13.11 (p < .001).

Conclusions:

• Transradial rectal artery embolization is a safe and effective outpatient treatment option for chronic hemorrhoid disease.
• The transradial approach provides a minimally invasive alternative for hemorrhoid embolization.
• This technique demonstrates promising results in symptom relief and patient recovery.