Embolization of Nonvariceal Upper Gastrointestinal Hemorrhage Complicated by Bowel Ischemia

Gretchen Foltz; Tamim Khaddash

doi:10.1055/s-0039-1688419

Seminars in Interventional Radiology, Inhaltsverzeichnis

Semin intervent Radiol 2019; 36(02): 076-083
DOI: 10.1055/s-0039-1688419

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Embolization of Nonvariceal Upper Gastrointestinal Hemorrhage Complicated by Bowel Ischemia

Gretchen Foltz

¹Section of Interventional Radiology, Department of Radiology, Washington University St. Louis - School of Medicine, St. Louis, Missouri

,

Tamim Khaddash

¹Section of Interventional Radiology, Department of Radiology, Washington University St. Louis - School of Medicine, St. Louis, Missouri

› Institutsangaben

Abstract

Over the past three decades, transcatheter arterial embolization has become the first-line therapy for the management of acute nonvariceal upper gastrointestinal bleeding refractory to endoscopic hemostasis. Overall, transcatheter arterial interventions have high technical and clinical success rates. This review will focus on patient presentation and technical considerations as predictors of complications from transcatheter arterial embolization in the management of acute upper gastrointestinal hemorrhage.

Keywords

upper gastrointestinal hemorrhage - angiography - transcatheter arterial embolization - complication rates - bowel ischemia - interventional radiology

Volltext

Referenzen

References
1 Loffroy R, Rao P, Ota S, De Lin M, Kwak BK, Geschwind JF. Embolization of acute nonvariceal upper gastrointestinal hemorrhage resistant to endoscopic treatment: results and predictors of recurrent bleeding. Cardiovasc Intervent Radiol 2010; 33 (06) 1088-1100
2 Loffroy R, Favelier S, Pottecher P. , et al. Transcatheter arterial embolization for acute nonvariceal upper gastrointestinal bleeding: Indications, techniques and outcomes. Diagn Interv Imaging 2015; 96 (7-8): 731-744
3 Feinman M, Haut ER. Upper gastrointestinal bleeding. Surg Clin North Am 2014; 94 (01) 43-53
4 Barkun AN, Bardou M, Kuipers EJ. , et al; International Consensus Upper Gastrointestinal Bleeding Conference Group. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 2010; 152 (02) 101-113
5 Millward SF. ACR Appropriateness Criteria on treatment of acute nonvariceal gastrointestinal tract bleeding. J Am Coll Radiol 2008; 5 (04) 550-554
6 Rösch J, Dotter CT, Brown MJ. Selective arterial embolization. A new method for control of acute gastrointestinal bleeding. Radiology 1972; 102 (02) 303-306
7 Jairath V, Kahan BC, Logan RF. , et al. National audit of the use of surgery and radiological embolization after failed endoscopic haemostasis for non-variceal upper gastrointestinal bleeding. Br J Surg 2012; 99 (12) 1672-1680
8 Ripoll C, Bañares R, Beceiro I. , et al. Comparison of transcatheter arterial embolization and surgery for treatment of bleeding peptic ulcer after endoscopic treatment failure. J Vasc Interv Radiol 2004; 15 (05) 447-450
9 Frisoli JK, Sze DY, Kee S. Transcatheter embolization for the treatment of upper gastrointestinal bleeding. Tech Vasc Interv Radiol 2004; 7 (03) 136-142
10 Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG Clinical Guideline: diagnosis and management of small bowel bleeding. Am J Gastroenterol 2015; 110 (09) 1265-1287 , quiz 1288
11 Rebibo L, Fuks D, Blot C. , et al. Gastrointestinal bleeding complication of gastric fistula after sleeve gastrectomy: consider pseudoaneurysms. Surg Endosc 2013; 27 (08) 2849-2855
12 Zhou CG, Shi HB, Liu S. , et al. Transarterial embolization for massive gastrointestinal hemorrhage following abdominal surgery. World J Gastroenterol 2013; 19 (40) 6869-6875
13 De Wispelaere JF, De Ronde T, Trigaux JP, de Cannière L, De Geeter T. Duodenal ulcer hemorrhage treated by embolization: results in 28 patients. Acta Gastroenterol Belg 2002; 65 (01) 6-11
14 Holme JB, Nielsen DT, Funch-Jensen P, Mortensen FV. Transcatheter arterial embolization in patients with bleeding duodenal ulcer: an alternative to surgery. Acta Radiol 2006; 47 (03) 244-247
15 Meehan T, Stecker MS, Kalva SP, Oklu R, Walker TG, Ganguli S. Outcomes of transcatheter arterial embolization for acute hemorrhage originating from gastric adenocarcinoma. J Vasc Interv Radiol 2014; 25 (06) 847-851
16 Oh SJ, Song HY, Nam DH. , et al. Bleeding after expandable nitinol stent placement in patients with esophageal and upper gastrointestinal obstruction: incidence, management, and predictors. Acta Radiol 2014; 55 (09) 1069-1075
17 Fitzpatrick J, Bhat R, Young JA. Angiographic embolization is an effective treatment of severe hemorrhage in pancreatitis. Pancreas 2014; 43 (03) 436-439
18 Banshodani M, Kawanishi H, Moriishi M, Shintaku S, Sato T, Tsuchiya S. Efficacy of intra-arterial treatment for massive gastrointestinal bleeding in hemodialysis patients. Ther Apher Dial 2014; 18 (01) 24-30
19 Murugesan SD, Sathyanesan J, Lakshmanan A. , et al. Massive hemobilia: a diagnostic and therapeutic challenge. World J Surg 2014; 38 (07) 1755-1762
20 Aina R, Oliva VL, Therasse E. , et al. Arterial embolotherapy for upper gastrointestinal hemorrhage: outcome assessment. J Vasc Interv Radiol 2001; 12 (02) 195-200
21 Schenker MP, Duszak Jr R, Soulen MC. , et al. Upper gastrointestinal hemorrhage and transcatheter embolotherapy: clinical and technical factors impacting success and survival. J Vasc Interv Radiol 2001; 12 (11) 1263-1271
22 Nanavati SM. What if endoscopic hemostasis fails? Alternative treatment strategies: interventional radiology. Gastroenterol Clin North Am 2014; 43 (04) 739-752
23 Abdel-Aal AK, Bag AK, Saddekni S, Hamed MF, Ahmed FY. Endovascular management of nonvariceal upper gastrointestinal hemorrhage. Eur J Gastroenterol Hepatol 2013; 25 (07) 755-763
24 Song JS, Kwak HS, Chung GH. Nonvariceal upper gastrointestinal bleeding: the usefulness of rotational angiography after endoscopic marking with a metallic clip. Korean J Radiol 2011; 12 (04) 473-480
25 Sos TA, Lee JG, Wixson D, Sniderman KW. Intermittent bleeding from minute to minute in acute massive gastrointestinal hemorrhage: arteriographic demonstration. AJR Am J Roentgenol 1978; 131 (06) 1015-1017
26 Geffroy Y, Rodallec MH, Boulay-Coletta I, Jullès MC, Ridereau-Zins C, Zins M. Multidetector CT angiography in acute gastrointestinal bleeding: why, when, and how. Radiographics 2011; 31 (03) E35-E46
27 Dixon S, Chan V, Shrivastava V, Anthony S, Uberoi R, Bratby M. Is there a role for empiric gastroduodenal artery embolization in the management of patients with active upper GI hemorrhage?. Cardiovasc Intervent Radiol 2013; 36 (04) 970-977
28 Ichiro I, Shushi H, Akihiko I, Yasuhiko I, Yasuyuki Y. Empiric transcatheter arterial embolization for massive bleeding from duodenal ulcers: efficacy and complications. J Vasc Interv Radiol 2011; 22 (07) 911-916
29 Padia SA, Geisinger MA, Newman JS, Pierce G, Obuchowski NA, Sands MJ. Effectiveness of coil embolization in angiographically detectable versus non-detectable sources of upper gastrointestinal hemorrhage. J Vasc Interv Radiol 2009; 20 (04) 461-466
30 Tandberg DJ, Smith TP, Suhocki PV. , et al. Early outcomes of empiric embolization of tumor-related gastrointestinal hemorrhage in patients with advanced malignancy. J Vasc Interv Radiol 2012; 23 (11) 1445-1452
31 Defreyne L, Vanlangenhove P, Decruyenaere J. , et al. Outcome of acute nonvariceal gastrointestinal haemorrhage after nontherapeutic arteriography compared with embolization. Eur Radiol 2003; 13 (12) 2604-2614
32 Loffroy R, Guiu B, Mezzetta L. , et al. Short- and long-term results of transcatheter embolization for massive arterial hemorrhage from gastroduodenal ulcers not controlled by endoscopic hemostasis. Can J Gastroenterol 2009; 23 (02) 115-120
33 Loffroy R, Guiu B, Cercueil JP. , et al. Refractory bleeding from gastroduodenal ulcers: arterial embolization in high-operative-risk patients. J Clin Gastroenterol 2008; 42 (04) 361-367
34 Lang EV, Picus D, Marx MV, Hicks ME. Massive arterial hemorrhage from the stomach and lower esophagus: impact of embolotherapy on survival. Radiology 1990; 177 (01) 249-252
35 Encarnacion CE, Kadir S, Beam CA, Payne CS. Gastrointestinal bleeding: treatment with gastrointestinal arterial embolization. Radiology 1992; 183 (02) 505-508
36 Toyoda H, Nakano S, Kumada T. , et al. Estimation of usefulness of N-butyl-2-cyanoacrylate-lipiodol mixture in transcatheter arterial embolization for urgent control of life-threatening massive bleeding from gastric or duodenal ulcer. J Gastroenterol Hepatol 1996; 11 (03) 252-258
37 Jae HJ, Chung JW, Jung AY, Lee W, Park JH. Transcatheter arterial embolization of nonvariceal upper gastrointestinal bleeding with N-butyl cyanoacrylate. Korean J Radiol 2007; 8 (01) 48-56
38 Walsh RM, Anain P, Geisinger M. , et al. Role of angiography and embolization for massive gastroduodenal hemorrhage. J Gastrointest Surg 1999; 3 (01) 61-65 , discussion 66
39 Lang EK. Transcatheter embolization in management of hemorrhage from duodenal ulcer: long-term results and complications. Radiology 1992; 182 (03) 703-707
40 Irani JL, Cutler CS, Whang EE. , et al. Severe acute gastrointestinal graft-vs-host disease: an emerging surgical dilemma in contemporary cancer care. Arch Surg 2008; 143 (11) 1041-1045 , discussion 1046
41 Shabahang M, Pasquale MD, Bitterman P, Cirenza E, Spitzer T, Evans SR. Massive hematochezia secondary to graft-versus-host disease and cytomegalovirus. Am J Gastroenterol 1994; 89 (04) 632-633
42 Jones AD, Maziarz R, Gilster J, Domreis J, Deveney CW, Sheppard BC. Surgical complications of bone marrow transplantation. Am J Surg 2003; 185 (05) 481-484
43 Chen RZ, Zhao G, Jin N, Chen BA, Ding JH. Superselective arterial embolization of the superior mesenteric artery for the treatment of gastrointestinal hemorrhage following allogeneic hematopoietic stem cell transplantation. Patient Prefer Adherence 2014; 8: 1581-1585
44 Kuroiwa Y, Suzuki N, Mizue N. , et al. Gastric antral vascular ectasia in 2-yr-old girl undergoing unrelated cord blood stem cell transplantation. Pediatr Transplant 2005; 9 (06) 788-791
45 Caronna R, Cardi M, Arcese W. , et al. Gastrointestinal surgical emergencies in patients treated for hematological malignancies. Suppl Tumori 2005; 4 (03) S141-S145