Trans Arterial Embolization of Non-variceal Upper Gastrointestinal Bleeding: Is the Use of Ethylene-Vinyl Alcohol Copolymer as Safe as Coils?

Abstract:

PURPOSE:The safety of liquid embolics over the conventional coils for the treatment of non-variceal upper gastrointestinal bleeding (UGIB) approach is still unclear. Purpose of this study is to assess the safety of ethylene-vinyl alcohol copolymer (EVOH 6%) over coils in the treatment of UGIB. MATERIALS AND METHODS:All the upper gastrointestinal tract embolization procedures performed in a single center in a 6-year period were reviewed. Patients embolised with coils (Group A) versus those embolised with EVOH 6% (Group B) were compared. Technical/clinical success, bleeding recurrence, complication and mortality rates were analyzed. RESULTS:A total 71 patients were included in the study (41 Group A and 30 Group B). Coagulopathy was present in 21% of Group A and 46% of Group B patients (p < 0.05). Technical and clinical success was 97.6 and 92.7% for Group A, and 100 and 93.3% for Group B respectively, (p > 0.05). Ten patients (17% Group A; 10% Group B) re-bled within the first 36 h and all of them were re-treated successfully with a second embolization. In Group A one major complication (bowel ischemia) occurred. No complication occurred in Group B. The survival rate in the first 30 days was 90.3% for group A and 90% for group B (p > 0.05). CONCLUSION:This study demonstrated EVOH 6% appears to be as safe and effective as coils in the treatment of non-variceal UGIB.

authors

Tipaldi MA,Orgera G,Krokidis M,Rebonato A,Maiettini D,Vagnarelli S,Ambrogi C,Rossi M

doi

10.1007/s00270-018-1981-5

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1340-1345

issue

9

eissn

0174-1551

issn

1432-086X

pii

10.1007/s00270-018-1981-5

journal_volume

41

pub_type

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