Selective intra-arterial embolization to treat hemorrhoids
Por:
Puchol, M, Hernandez, E, Gonzalez, F, Gandia, R, Solaz, J and Usmayo, A
Publicada:
1 jul 2020
Categoría:
Radiology, nuclear medicine and imaging
Resumen:
Objective: To present our results and describe the technique used for the endovascular treatment of hemorrhoids.
Material and methods: We used right femoral artery or radial artery access to catheterize the inferior mesenteric artery, proceeding to the superior rectal artery with a 27F microcatheter to catheterize and embolize each distal branch distally with PVA particles (300-500 mu m) and proximally with coils (2-3 mm). Patients were discharged 24 hours after the procedure and clinically followed up at one month by anoscopy.
Results: We included 20 patients (4 women and 16 men; mean age, 61.85 years (27-81 years); mean follow-up, 10.6 months (28-2 months). Technical success was achieved in 18 (90%) patients and clinical success in 15 (83.4%); one patient required a second embolization of the medial rectal artery and two required surgery. Recovery was practically painless. At the one-month follow-up, all patients were very satisfied and anoscopy demonstrated marked improvement of the hemorrhoids. There were no complications secondary to embolization.
Conclusions: Our initial results suggest that selective intra-arterial embolization is a safe and painless procedure that is well tolerated because it avoids rectal trauma and patients recover immediately. (C) 2020 SERAM. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
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Hosp Univ la Ribera, Serv Radiol, Secc Radiol Vasc Intervencionista, Valencia, Spain
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Hosp Univ la Ribera, Serv Radiol, Secc Radiol Vasc Intervencionista, Valencia, Spain
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Hosp Univ la Ribera, Serv Cirugia, Secc Coloproctol, Valencia, Spain
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Hosp Univ la Ribera, Serv Radiol, Secc Radiol Vasc Intervencionista, Valencia, Spain
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Hosp Univ la Ribera, Serv Radiol, Secc Radiol Vasc Intervencionista, Valencia, Spain
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Hosp Univ la Ribera, Serv Radiol, Secc Radiol Vasc Intervencionista, Valencia, Spain
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