Emerg Radiol (2018) 25:111–120 DOI 10.1007/s10140-017-1552-0 ORIGINAL ARTICLE Efficacy and safety of superselective trans-catheter arterial embolization of upper and lower gastrointestinal bleeding using N-butyl-2-cyanoacrylate 1 1 Jae Hyun Kwon & Yoon Hee Han Received: 19 July 2017 /Accepted: 7 September 2017 /Published online: 2 October 2017 American Society of Emergency Radiology 2017 Abstract Two patients died of septic shock and one died of myocardial Purpose To evaluate the efficacy and safety of superselective infarction within 30 days after TAE. In 25 patients who trans-catheter arterial embolization (TAE) with N-butyl-2- underwent TAE with other agents, the overall technical success cyanoacrylate (NBCA) for patients with acute non-variceal was 100% (25/25), and the overall clinical success was 68.2% upper and lower gastrointestinal (GI) bleeding. (15/22). The rates of uncontrolled bleeding, recurrent bleeding, Methods TAE using NBCA was performed in 21 patients (13 clinical failure, bleeding-related 30-day mortality, and overall males, 8 females, mean age 60.9 years) with acute non- in-hospital mortality were 0.5% (1/22), 22.7% (5/22), 31.8% variceal upper (n = 15) and lower (n = 6) GI bleeding. TAE (7/22), 22.7% (5/22), and 32.0% (8/25), respectively. using other embolic agents was performed in 25 patients (13 Conclusions TAE with NBCA for
Emergency Radiology – Springer Journals
Published: Oct 2, 2017
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