Transcatheter Arterial Embolization in Lower Gastrointestinal Bleeding: Ischemia Remains a Concern Even with a Superselective Approach.
Taina P NykänenErno PeltolaLeena KylänpääMarianne UddPublished in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2018)
LGIB is a severe physiological insult occurring in patients who are often elderly and moribund. Although major post embolization complications occur, transcatheter arterial embolization should be the first-line approach over surgery in profuse LGIB in patients with hemodynamic instability, when colonoscopy fails or is unavailable, or when computerized tomography angiography detects small intestinal bleeding.