PURPOSE: To evaluate the efficacy and safety of empiric transcatheter arterial embolization (TAE) for patients with massive bleeding from duodenal ulcers. MATERIALS AND METHODS: During January 2000 and December 2009, 59 patients with duodenal ulcer bleeding in whom TAE was attempted after endoscopic therapy failed were retrospectively analyzed. The patients were divided into empiric TAE (n = 36) and identifiable TAE (n = 23) groups according to angiographic findings with or without identification of the bleeding sites. The technical and clinical success rate, recurrent bleeding rate, procedure-related complications, and clinical outcomes were evaluated. RESULTS: The technical and clinical success rates of TAE were 100% and 83%. The recurrent bleeding rate, clinical success, duodenal stenosis, and 30-day mortality after TAE were not significantly different between the empiric and identifiable TAE groups. CONCLUSIONS: A high rate of technical and clinical success was obtained with empiric TAE comparable to identifiable TAE in patients with massive bleeding from duodenal ulcers. There were no severe complications. Empiric TAE is an effective and safe method when a bleeding site cannot determined by angiography.
PURPOSE: To evaluate the efficacy and safety of empiric transcatheter arterial embolization (TAE) for patients with massive bleeding from duodenal ulcers. MATERIALS AND METHODS: During January 2000 and December 2009, 59 patients with duodenal ulcer bleeding in whom TAE was attempted after endoscopic therapy failed were retrospectively analyzed. The patients were divided into empiric TAE (n = 36) and identifiable TAE (n = 23) groups according to angiographic findings with or without identification of the bleeding sites. The technical and clinical success rate, recurrent bleeding rate, procedure-related complications, and clinical outcomes were evaluated. RESULTS: The technical and clinical success rates of TAE were 100% and 83%. The recurrent bleeding rate, clinical success, duodenal stenosis, and 30-day mortality after TAE were not significantly different between the empiric and identifiable TAE groups. CONCLUSIONS: A high rate of technical and clinical success was obtained with empiric TAE comparable to identifiable TAE in patients with massive bleeding from duodenal ulcers. There were no severe complications. Empiric TAE is an effective and safe method when a bleeding site cannot determined by angiography.
Authors: Felix Y Yap; Benedictta O Omene; Milan N Patel; Thomas Yohannan; Jeet Minocha; M Grace Knuttinen; Charles A Owens; James T Bui; Ron C Gaba Journal: Dig Dis Sci Date: 2013-01-30 Impact factor: 3.199
Authors: Armin Kuellmer; Tobias Mangold; Dominik Bettinger; Lars Maruschke; Andreas Wannhoff; Karel Caca; Edris Wedi; Ali Seif Amir Hosseini; Tobias Kleemann; Thomas Schulz; Carlo Jung; Robert Thimme; Arthur Schmidt Journal: United European Gastroenterol J Date: 2021-08-25 Impact factor: 4.623
Authors: Gokhan Kuyumcu; Igor Latich; Rulon L Hardman; Gabriel C Fine; Rahmi Oklu; Keith B Quencer Journal: J Clin Med Date: 2018-05-02 Impact factor: 4.241