Abstract

Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD* Amr Mahmoud, MD and Haytham M.Nasser, MD.

Background:
Acute gastrointestinal bleeding (GIB) can lead to significant morbidity and mortality without appropriate treatment. The diagnostic and therapeutic approach of GIB depends on its location, severity, and etiology. The role of interventional radiology via trans-catheter embolization becomes vital in patients whose GIB remains resistant to medical and endoscopic treatment.
Our study aim is to assess the clinical and technical efficacy of Transcatheter Arterial Embolization in management of Acute GIB. This study was conducted for patients presented with active upper or Lower GI bleeding. Sixteen patients underwent selective trans-arterial embolization. Patients were followed up clinically for any complications or episodes of recurrent bleeding.
Results:
Our study was held on 16 patients (10 male patients and 6 female patients), rɑnɡinɡ from 50 to 72 yeɑrs with mean ɑɡe of 61 yeɑrs old. Our Technical Success was 100%, with Clinical success within the 1st 30 days post procedure reaching (75%). No Major intra or post-procedural complication was appreciated. The median post-procedural follow-up duration was 90 days. 4 cases showed reccured bleeding with only one case only from them was managed with re embolization. The 30-day mortality rate was 6.2 %, while the overall mortality rate throughout the whole follow up period 90 days was 18.7%.
-Conclusion: Endovascular Transcatheter Selective Arterial Embolization is an effective way in Management of Acute Gastrointestinal Bleeding which is refractory to traditional medial and endoscopic management with our study showing acceptable improvement of the clinical and laboratory data with decrease in the morbidity and mortality rate among the treated patients.

How to Cite this Article

Pubmed Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD. Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding. SRP. 2020; 11(6): 1443-1451. doi:10.31838/srp.2020.6.206 Web Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD. Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding. http://www.sysrevpharm.org/?mno=13190 [Access: March 29, 2021]. doi:10.31838/srp.2020.6.206 AMA (American Medical Association) Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD. Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding. SRP. 2020; 11(6): 1443-1451. doi:10.31838/srp.2020.6.206 Vancouver/ICMJE Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD. Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding. SRP. (2020), [cited March 29, 2021]; 11(6): 1443-1451. doi:10.31838/srp.2020.6.206 Harvard Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD (2020) Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding. SRP, 11 (6), 1443-1451. doi:10.31838/srp.2020.6.206 Turabian Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD. 2020. Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding. Systematic Reviews in Pharmacy, 11 (6), 1443-1451. doi:10.31838/srp.2020.6.206 Chicago Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD. "Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding." Systematic Reviews in Pharmacy 11 (2020), 1443-1451. doi:10.31838/srp.2020.6.206 MLA (The Modern Language Association) Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD. "Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding." Systematic Reviews in Pharmacy 11.6 (2020), 1443-1451. Print. doi:10.31838/srp.2020.6.206 APA (American Psychological Association) Style Mohamed A.Abdelrasoul, M.Sc. Mohamed AlGarieb, MD Amr Mahmoud, MD and Haytham M.Nasser, MD (2020) Role of Endovascular Trans catheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding. Systematic Reviews in Pharmacy, 11 (6), 1443-1451. doi:10.31838/srp.2020.6.206