Abdomino-Visceral angiography and coil embolization efficacy in treating digestive tract bleeding
Doc. Rytis Kaupas1, Rasita Zamblauskaitė1, Julius Vidikas1
Lithuanian Health Sciences University, Radiology clinics.
AIM: To evaluate efficacy of abdomino-visceral angiography, coil embolization and other different combinations used for treating bleeding from digestive tract.
Material and methods: A retrospective study was performed. The study was focused on patients, treated in Interventional radiology section LSMUL KK. The patiens were treated for bleeding from the digestive tract in period : from 2011 to 2014. Data was collected by analyzing medical records and treatment protocols. The variables which was registered: age, gender, angiography, embolization, combinations, outcomes. Screening criterion: bleeding from the digestive tract. Quantitative data was performed in percent. The qualitative data was performed using SPSS v17 and Microsoft Excel programs. Statistical tests: Chi-test, Student’s t test were used for qualitive data outcomes. Statistical confidence level when p value less than 0,05.
Results: In mentioned period (2011 – 2014) n=370 patients: n=203 males and n=137 females were treated in interventional radiology section of LSMUL KK for bleeding from digestive tract. The mean age of female was 61,08±16,67 and mean age of males – 60,95±16,07 (did not differed significantly). The overall mortality rate was 10 %. Mortality among males was 11,3 % (n=23) and 8,0 % among females (n=11), p=0,32. During 3 years period 433 procedures were done to cure bleeding from digestive tract, while 22 % (n=94) times procedures were repeated. The most common procedure was – abdominal angiography 38,2 % (n=166), second most common – abdominal angiography combined with embolization coils was performed 35,6 % (n=154).
Conclusions: Overall 340 patients were treated for bleeding from digestive tract. Most common procedures was: abdominal – visceral angiography (n=166) and abdominal – visceral angiography combined with embolization coils (n=154). Overall mortality for bleeding from the digestive tract was 10 percent. Patients age does not influence the outcomes of treatement. Extravasation significantly increases mortality (p>0,05).
Keywords: Endoscopy, Radiology, Bleeding.