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Acta Biomedica Scientia

Volume 4, Issue 3, 2017
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
TRANSCATHETER EMBOLIZATION IN THE SPOTLIGHT: A COMPREHENSIVE EVALUATION OF SUPERSELECTIVE MESENTERIC ARTERIAL EMBOLIZATION FOR MANAGING LOWER GASTROINTESTINAL BLEEDING
Author
Dr Nagateja Bonala
Email
saiprasi@yahoo.com
keyword
Digital subtraction angiography, CT angiography, embolization techniques, radionuclide scintigraphy
Abstract
SMAE was evaluated as a tool for managing lower GI bleeding (LGIB) using digital subtraction angiography (DSA). Our health service treated patients with LGIB in a retrospective manner with SMAE. In patients with confirmed active LGIB on radionuclide scintigraphy or contrast-enhanced multidetector CT angiography, DSA was combined with SMAE if it was confirmed either on radionuclide scintigraphy or on CE-MDCT. Among the information collected by the study was patient characteristics, screening methods, bleeding zones, embolization techniques, technical and clinical success of the procedure, complications during the short- to medium-term and the long-term, mortality after one month, and progression to surgery when the procedure failed or developed complications. An analysis of 110 admissions to hospitals with acute stable lower gastrointestinal bleeding was conducted over a month period, as demonstrated by CE-MDCT or RS. An embolization procedure is performed on 36 patients, with immediate success for all. Clinical rebleeding occurred in 16 patients following intervention, requiring repeat imaging. Radiological rebleeding was detected in only 2 case, which was embolized. Complications were low: no bowel ischaemia, constriction, or death within month. The initial management of localised LGIB is SMAE. It is safe, effective, and feasible. Compared to other institutions' published experiences, our results are generally positive. In our institution, embolization is the standard approach to treating localized LGIB
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