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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2020; 4(01): 27-31
DOI: 10.4103/AJIR.AJIR_21_19
Original Article

New Technique of Embolization of the Hemorrhoidal Arteries Using Embolization Particles Alone: Retrospective Results in 33 Patients

Karim Abd El Tawab
Department of Radiology, IR Unit, Ain Shams University Hospitals, Cairo
,
Amr Abdo Salem
Department of Radiology, IR Unit, Ain Shams University Hospitals, Cairo
,
Rana Khafagy
Department of Radiology, IR Unit, Ain Shams University Hospitals, Cairo
› Institutsangaben Financial support and sponsorship Nil.
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Purpose: The purpose of this study was to assess the safety and efficacy of using particles only in the embolization of the hemorrhoidal arteries for the management of hemorrhoids. Subjects and Methods: This is a retrospective study for patients treated between March 2015 and December 2018. We treated 33 patients, 13 men and 20 women with a mean age of 37 years (range: 18–70 years), in which 11 patients had Grade II hemorrhoids and 22 had Grade III hemorrhoids. Technical and clinical successes together with procedural complications were assessed. Results: The technical success rate was 100%. No minor or major complications have been reported. No cases of anorectal ischemia, anal incontinence, hemorrhoidal thrombosis, or complications related to femoral arterial puncture have occurred. Follow-up was at 3 months and 12 months postembolization. Clinical success was observed in 32 patients (96.9%) with improvement by at least 2 points of the French bleeding score at 3 months postembolization. Conclusion: The use of particles alone in the embolization of hemorrhoidal arteries whether from the superior rectal artery and/or from the middle and inferior rectal arteries can offer a safe and effective treatment option.

Bleeding - embolization - hemorrhoids - particles


Publikationsverlauf

Eingereicht: 31. August 2019
Eingereicht: 11. Dezember 2019

Angenommen: 20. Dezember 2019

Artikel online veröffentlicht:
16. März 2021

© 2020. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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