Embolization of Hemorrhoidal Arteries: A Novel Endovascular Therapy Option for the Treatment of Hemorrhoidal Disease

Ludger Feyen; Patrick Freyhardt; Peter Schott; Christoph Wullstein; Alexandra Dimitriou-Zarra; Marcus Katoh

doi:10.1055/a-1662-5487

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, Table of Contents

Rofo 2022; 194(03): 266-271
DOI: 10.1055/a-1662-5487

Review

Embolization of Hemorrhoidal Arteries: A Novel Endovascular Therapy Option for the Treatment of Hemorrhoidal Disease

Article in several languages: English | deutsch

Ludger Feyen

¹Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Krefeld, Germany

,

Patrick Freyhardt

²School of Medicine, University Witten-Herdecke Faculty of Health, Witten, Germany

¹Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Krefeld, Germany

,

Peter Schott

¹Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Krefeld, Germany

,

Christoph Wullstein

³Department of General, Abdominal and Minimally Invasive Surgery, HELIOS Klinikum Krefeld, Germany

,

Alexandra Dimitriou-Zarra

³Department of General, Abdominal and Minimally Invasive Surgery, HELIOS Klinikum Krefeld, Germany

,

Marcus Katoh

¹Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Krefeld, Germany

› Author Affiliations

Abstract

Background Hemorrhoids are a widespread disease. Treatment options range from dietary measures to open surgery. A novel treatment approach is the embolization of the hemorrhoidal arteries.

Method A review was performed based on a selective literature search in PubMed representing the current state of research. The keywords “hemorrhoid” and “embolization” and “emborrhoid” were used. In addition, technical details of the hemorrhoidal embolization procedure are explained.

Results and Conclusion Embolization of hemorrhoidal arteries is a safe treatment, which allows efficient symptom control even in patients with contraindications for open surgery.

Key Points:

Embolization of hemorrhoidal arteries is a new approach to the treatment of hemorrhoids.
Embolization of hemorrhoidal arteries is feasible in patients with contraindications for open surgery such as hypercoaguable states and contraindications for general anesthesia.
The endovascular approach causes no rectal and anal trauma and associated complications can be avoided.
The treatment of bleeding hemorrhoids seems to be particularly effective.
No ischemic complications have been reported so far when coils as well as particles were used.

Citation Format

Feyen L, Freyhardt P, Schott P et al. Hämorrhoidenembolisation: Eine neue minimalinvasive endovaskuläre Therapieoption bei Hämorrhoidalleiden. Fortschr Röntgenstr 2022; 194: 266 – 271

Key words

hemorrhoids - embolization - rectal artery

Full Text

References

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