skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Transcatheter Arterial Embolization for Gastrointestinal Bleeding Secondary to Gastrointestinal Lymphoma

Abstract

PurposeTo evaluate the effectiveness of transcatheter arterial embolization (TAE) for gastrointestinal (GI) bleeding caused by GI lymphoma.Materials and MethodsThe medical records of 11 patients who underwent TAE for GI bleeding caused by GI lymphoma between 2001 and 2015 were reviewed retrospectively.ResultsA total of 20 TAE procedures were performed. On angiography, contrast extravasation, and both contrast extravasation and tumor staining were seen in 95 % (19/20) and 5 % (1/20) of the procedures, respectively. The most frequently embolized arteries were jejunal (n = 13) and ileal (n = 5) branches. Technical and clinical success rates were 100 % (20/20) and 27 % (3/11), respectively. The causes of clinical failure in eight patients were rebleeding at new sites. In four patients who underwent repeat angiography, the bleeding focus was new each time. Three patients underwent small bowel resection due to rebleeding after one (n = 2) or four (n = 1) times of TAEs. Another two patients underwent small bowel resection due to small bowel ischemia/perforation after three or four times of TAEs. The 30-day mortality rate was 18 % due to hypovolemic shock (n = 1) and multiorgan failure (n = 1).ConclusionAngiogram with TAE shows limited therapeutic efficacy to manage GI lymphoma-related bleeding due to high rebleeding at new sites. Although TAE can be an initial hemostatic measure,more » surgery should be considered for rebleeding due to possible bowel ischemic complication after repeated TAE procedures.« less

Authors:
 [1]; ; ; ; ;  [2];  [3];  [2]
  1. Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Department of Radiology (China)
  2. University of Ulsan, College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology (Korea, Republic of)
  3. Kyunghee University, College of Medicine, Kangdong Kyunghee University Hospital, Department of Radiology (Korea, Republic of)
Publication Date:
OSTI Identifier:
22642460
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 39; Journal Issue: 11; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; COAGULANTS; FAILURES; ISCHEMIA; LYMPHOMAS; MEDICAL RECORDS; MORTALITY; NITROGEN 13; PATIENTS; PERFORATION; REVIEWS; SURGERY

Citation Formats

Zheng, Lin, Shin, Ji Hoon, E-mail: jhshin@amc.seoul.kr, Han, Kichang, Tsauo, Jiaywei, Yoon, Hyun-Ki, Ko, Gi-Young, Shin, Jong-Soo, and Sung, Kyu-Bo. Transcatheter Arterial Embolization for Gastrointestinal Bleeding Secondary to Gastrointestinal Lymphoma. United States: N. p., 2016. Web. doi:10.1007/S00270-016-1422-2.
Zheng, Lin, Shin, Ji Hoon, E-mail: jhshin@amc.seoul.kr, Han, Kichang, Tsauo, Jiaywei, Yoon, Hyun-Ki, Ko, Gi-Young, Shin, Jong-Soo, & Sung, Kyu-Bo. Transcatheter Arterial Embolization for Gastrointestinal Bleeding Secondary to Gastrointestinal Lymphoma. United States. doi:10.1007/S00270-016-1422-2.
Zheng, Lin, Shin, Ji Hoon, E-mail: jhshin@amc.seoul.kr, Han, Kichang, Tsauo, Jiaywei, Yoon, Hyun-Ki, Ko, Gi-Young, Shin, Jong-Soo, and Sung, Kyu-Bo. Tue . "Transcatheter Arterial Embolization for Gastrointestinal Bleeding Secondary to Gastrointestinal Lymphoma". United States. doi:10.1007/S00270-016-1422-2.
@article{osti_22642460,
title = {Transcatheter Arterial Embolization for Gastrointestinal Bleeding Secondary to Gastrointestinal Lymphoma},
author = {Zheng, Lin and Shin, Ji Hoon, E-mail: jhshin@amc.seoul.kr and Han, Kichang and Tsauo, Jiaywei and Yoon, Hyun-Ki and Ko, Gi-Young and Shin, Jong-Soo and Sung, Kyu-Bo},
abstractNote = {PurposeTo evaluate the effectiveness of transcatheter arterial embolization (TAE) for gastrointestinal (GI) bleeding caused by GI lymphoma.Materials and MethodsThe medical records of 11 patients who underwent TAE for GI bleeding caused by GI lymphoma between 2001 and 2015 were reviewed retrospectively.ResultsA total of 20 TAE procedures were performed. On angiography, contrast extravasation, and both contrast extravasation and tumor staining were seen in 95 % (19/20) and 5 % (1/20) of the procedures, respectively. The most frequently embolized arteries were jejunal (n = 13) and ileal (n = 5) branches. Technical and clinical success rates were 100 % (20/20) and 27 % (3/11), respectively. The causes of clinical failure in eight patients were rebleeding at new sites. In four patients who underwent repeat angiography, the bleeding focus was new each time. Three patients underwent small bowel resection due to rebleeding after one (n = 2) or four (n = 1) times of TAEs. Another two patients underwent small bowel resection due to small bowel ischemia/perforation after three or four times of TAEs. The 30-day mortality rate was 18 % due to hypovolemic shock (n = 1) and multiorgan failure (n = 1).ConclusionAngiogram with TAE shows limited therapeutic efficacy to manage GI lymphoma-related bleeding due to high rebleeding at new sites. Although TAE can be an initial hemostatic measure, surgery should be considered for rebleeding due to possible bowel ischemic complication after repeated TAE procedures.},
doi = {10.1007/S00270-016-1422-2},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 11,
volume = 39,
place = {United States},
year = {2016},
month = {11}
}