Emborrhoid in patients with portal hypertension and chronic hemorrhoidal bleeding: preliminary results in five cases with a new coiling release fashion 'Spaghetti technique'
| Autor: | Francesco Giurazza, Errico Cavaglià, Fabio Corvino, Mattia Silvestre, Giuseppe De Magistris, Gianluca Cangiano, Francesco Amodio, Raffaella Niola |
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| Rok vydání: | 2020 |
| Předmět: |
Liver Cirrhosis
Male medicine.medical_specialty medicine.medical_treatment Hemorrhage Hemorrhoids 030218 nuclear medicine & medical imaging 03 medical and health sciences Hemorrhoidal bleeding 0302 clinical medicine Hypertension Portal Occlusion medicine Humans Radiology Nuclear Medicine and imaging In patient Embolization Aged Neuroradiology medicine.diagnostic_test business.industry Anemia Interventional radiology General Medicine Middle Aged medicine.disease Embolization Therapeutic Mesenteric Arteries Surgery 030220 oncology & carcinogenesis Portal hypertension Female business |
| Zdroj: | La radiologia medica. 125:1008-1011 |
| ISSN: | 1826-6983 0033-8362 |
| DOI: | 10.1007/s11547-020-01194-y |
| Popis: | This manuscript reports on a preliminary experience concerning emborrhoid in patients affected by cirrhotic portal hypertension; furthermore, a novel customized technique of coils release, named “Spaghetti technique,” is described. Five patients with chronic anemia due to internal hemorrhoidal bleeding and cirrhotic portal hypertension were treated. Clinics and hemoglobin values were evaluated to objectively assess clinical conditions up to 3 months follow-up. Embolizations were performed with fibered coils, oversized, released stretched and not packed. Technical success, intended as occlusion of all superior hemorrhoidal artery branches, was 100%. In two patients, inferior hemorrhoidal arteries were embolized too. No patients reported major or minor complications. At 3-month follow-up, clinical improvement was obtained in four of the five patients; hemoglobin values improved or remained stable in the whole sample. Based on this limited experience, emborrhoid seems to be safe and effective at 3-month follow-up to improve symptoms in patients with cirrhotic portal hypertension and chronic anemia due to hemorroidal bleeding; the stretched fashion to release oversized coils provides effective embolization. |
| Databáze: | OpenAIRE |
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