Emergency radiology special feature: Commentary New advances in lower gastrointestinal bleeding management with embolotherapy
Entity
UAM. Departamento de Medicina; Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD)Publisher
British Institute of RadiologyDate
2016-01-01Citation
10.1259/bjr.20150934
British Journal of Radiology 89.1061 (2016): 20150934
ISSN
0007-1285 (print); 1748-880X (online)DOI
10.1259/bjr.20150934Editor's Version
http://dx.doi.org/10.1259/bjr.20150934Subjects
Lower gastrointestinal bleeding (LGIB); Morbidity and mortality; Treatment; Damaged vessel; Angiography; MedicinaRights
© 2016 The AuthorsAbstract
Lower gastrointestinal bleeding (LGIB) is associated with high morbidity and mortality. Embolization is currently proposed as the first step in the treatment of acute, life-threatening LGIB, when endoscopic approach is not possible or is unsuccessful. Like most procedures performed in emergency setting, time represents a significant factor influencing outcome. Modern tools permit identifying and reaching the bleeding site faster than two-dimensional angiography. Non-selective cone-beam CT arteriography can identify a damaged vessel. Moreover, sophisticated software able to detect the vessel may facilitate direct placement of a microcatheter into the culprit vessel without the need for sequential angiography. A further important aspect is the use of an appropriate technique of embolization and a safe and effective embolic agent. Current evidence shows the use of detachable coils (with or without a triaxial system) and liquid embolics has proven advantages compared with other embolic agents. The present article analyses these modern tools, making embolization of acute LGIB safer and more effective.
Files in this item
Google Scholar:Ierardi, Anna Maria
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Urbano, José
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De Marchi, Giuseppe
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Micieli, Camilla
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Duka, Ejona
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Iacobellis, Francesca
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Fontana, Federico
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Carrafiello, Gianpaolo
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