Transcatheter arterial embolization for acute nonvariceal upper gastrointestinal bleeding: Indications, techniques and outcomes

被引：80

作者：

Loffroy, R. ^{[1
]}

Favelier, S. ^{[1
]}

Pottecher, P. ^{[1
]}

Estivalet, L. ^{[1
]}

Genson, P. Y. ^{[1
]}

Gehin, S. ^{[1
]}

Cercueil, J. P. ^{[1
]}

Krause, D. ^{[1
]}

机构：

[1] Univ Dijon, Sch Med, Bocage Teaching Hosp, UMR CNRS 6306 Le2i,Dept Vasc Oncol & Intervent Ra, F-21079 Dijon, France

来源：

DIAGNOSTIC AND INTERVENTIONAL IMAGING | 2015年 / 96卷 / 7-8期

关键词：

Nonvariceal upper gastrointestinal bleeding; Endoscopy; Angiography; Embolization; Surgery; N-BUTYL CYANOACRYLATE; DUODENAL-ULCER; PEPTIC-ULCER; PROVOCATIVE ANGIOGRAPHY; GASTRODUODENAL HEMORRHAGE; VASCULAR ECTASIA; MANAGEMENT; SURGERY; THERAPY; EMBOLOTHERAPY;

D O I：

10.1016/j.diii.2015.05.002

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Over the past three decades, transcatheter arterial embolization has become the first-line therapy for the management of acute nonvariceal upper gastrointestinal bleeding that is refractory to endoscopic hemostasis. Advances in catheter-based techniques and newer embolic agents, as well as recognition of the effectiveness of minimally invasive treatment options, have expanded the role of interventional radiology in the treatment of bleeding for a variety of indications. Transcatheter arterial embolization is a fast, safe, and effective minimally invasive alternative to surgery, when endoscopic treatment fails to control acute bleeding from the upper gastrointestinal tract. This article describes the role of arterial embolization in the management of acute nonvariceal upper gastrointestinal bleeding and summarizes the literature evidence on the outcomes of endovascular therapy in such a setting. (C) 2015 Editions francaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

引用

页码：731 / 744

页数：14

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