Embolization of bleeding duodenal ulcer using Amplatzer vascular plug II and hydrogel coils: case report.

Abstract:

PURPOSE:To present a case of upper gastrointestinal bleeding (UGIB) that was treated with percutaneous endovascular embolization using Amplatzer vascular plug and hydrogel coils after failed endoscopic treatment. CASE REPORT:A 78-year-old male was referred for endovascular treatment of massive recurrent UGIB from a duodenal ulcer. Attempts at endoscopic treatment were unsuccessful. Based on our knowledge of the site of the bleeder in the duodenum from prior endoscopy, we decided to empirically embolize the gastroduodenal artery (GDA) and the right gastroepiploic artery using a combination of coils (Azur peripheral hydrocoil; Terumo Medical Corporation, Somerset, New Jersey) and Amplatzer vascular plug II (AVP II; AGA Medical, Plymouth, Minnesota). CONCLUSION:We present this case of UGIB where effective, rapid, precise, and controlled embolization of the GDA was achieved using AVP II device in combination with coils. To our knowledge, the use of AVP II in embolization of GDA for treatment of emergent UGIB has not been described in the literature.

journal_name

Vasc Endovascular Surg

authors

Abdel-Aal AK,Osman S,Hamed MF,Saddekni S,Saad WE

doi

10.1177/1538574411399158

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

307-10

issue

3

eissn

1538-5744

issn

1938-9116

pii

45/3/307

journal_volume

45

pub_type

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