Dataset Information

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices.

ABSTRACT:

SUBMITTER: Bazarbashi AN

PROVIDER: S-EPMC7482247 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices.

Bazarbashi Ahmad Najdat AN Thompson Christopher C CC Ryou Marvin M

VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy 20200629 9

PMID: 32954109

Similar Datasets

Project description:Background and objectivesGastric varices (GV) with spontaneous portosystemic shunt (SPSS) are associated with ectopic embolism in endoscopic cyanoacrylate. This study targeted to assess the efficacy and safety of EUS-guided coil embolization combined with endoscopic cyanoacrylate injection versus balloon-occluded retrograde transvenous obliteration (BRTO) for GV with high-risk ectopic embolism.Materials and methodsWe retrospectively analyzed six tertiary hospitals' 104 patients with GV at high-risk ectopic embolism (the narrowest diameter of SPSS was greater than or equal to 5 mm and the maximum diameter usually >8 mm) who underwent EUS-guided coil embolization combined with endoscopic cyanoacrylate injection or BRTO from January 2014 to December 2020. The outcomes included rebleeding, survival, and complications.ResultsThe EUS group and BRTO group contained 59 and 45 patients, respectively. The technical success rate between the two groups was similar (96.6% vs. 95.6%, P = 1.000). During the follow-up, both groups' 5-day rebleeding rate and 6-week mortality rate were 0%. One-year all-cause rebleeding rate (20.0% vs. 18.9%, P = 0.900) and 1-year mortality rate (2.0% vs. 0%, P = 1.000) in the EUS group were similar to the BRTO group. One patient experienced ectopic embolism in the EUS group, while the BRTO group did not. Both groups had similar mean days (16.0 [interquartile range (IQR), 12.0-19.0] vs. 16.5 [IQR, 11.8-26.0], P = 0.165) and cost of hospitalization (¥ 45950.6 [IQR, 39330.2-55768.2] vs. ¥ 51205.8 [IQR, 31628.8-74251.5], P = 0.680). Multivariate analysis showed that the narrowest diameter of the shunt (odds ratio [OR] = 1.86; 95% confidence interval [CI]: 1.062-3.258; P = 0.03) and content of hemoglobin (OR = 0.941; 95% CI: 0.892-0.992; P = 0.025) were the prognostic factors for survival.ConclusionsThe efficacy and safety of EUS-guided coil embolization combined with endoscopic cyanoacrylate injection for GV with high-risk ectopic embolism are comparable to BRTO.

Dataset Information

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices.

Publications

Targeting the perforator vein: EUS-guided coil embolization for the treatment of bleeding rectal varices.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets