Dataset Information

Embolization of parastomal and small bowel ectopic varices utilizing a transhepatic antegrade approach: A case series.

ABSTRACT:

Background

The ideal approach to managing parastomal and small bowel ectopic varices (EVs) is yet to be established.

Purpose

To evaluate outcomes following percutaneous antegrade transhepatic venous obliteration (PATVO) in patients presenting with bleeding from parastomal or small bowel EVs.

Material and methods

A case series of 12 patients presenting with active or recurrent bleeding from parastomal or small bowel EVs who underwent 17 PATVO interventions at our tertiary care institution was performed. Data extraction from electronic medical records included baseline characteristics and procedural details. Endpoints included technical success, early clinical success, and re-bleeding.

Results

Technical success was 100% (n = 17), and early clinical success was 82.3% (n = 14). No patient experienced any intra- or post-operative complications. Rebleed rates after initial PATVO in patients who achieved early clinical success was as follows: 3-month, 0% (n = 0); 6-month, 20% (n = 2); 12-month, 20% (n = 2). Rebleed rates after all PATVO procedures (including patients undergoing repeat procedures) that achieved early clinical success were as follows: 3-month, 0% (n = 0); 6-month, 14% (n = 2; 12-month, 14% (n = 2). All patients with re-bleeding required reintervention with either PATVO, transjugular intrahepatic portosystemic shunt (TIPS) or both.

Conclusion

PATVO can be safely performed to treat bleeding from parastomal and small bowel EVs. In patients who present with recurrent bleeding despite PATVO, TIPS with/without embolization of bleeding varices remains a valid option as described by the literature.

SUBMITTER: Nadeem IM

PROVIDER: S-EPMC9272059 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Embolization of parastomal and small bowel ectopic varices utilizing a transhepatic antegrade approach: A case series.

Nadeem Ibrahim Mohammad IM Badar Zain Z Giglio Victoria V Stella Steffan Frosi SF Markose George G Nair Sabarinath S

Acta radiologica open 20220705 7

<h4>Background</h4>The ideal approach to managing parastomal and small bowel ectopic varices (EVs) is yet to be established.<h4>Purpose</h4>To evaluate outcomes following percutaneous antegrade transhepatic venous obliteration (PATVO) in patients presenting with bleeding from parastomal or small bowel EVs.<h4>Material and methods</h4>A case series of 12 patients presenting with active or recurrent bleeding from parastomal or small bowel EVs who underwent 17 PATVO interventions at our tertiary ca ...[more]

PMID: 35833193

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Dataset Information

Embolization of parastomal and small bowel ectopic varices utilizing a transhepatic antegrade approach: A case series.

Background

Purpose

Material and methods

Results

Conclusion

Publications

Embolization of parastomal and small bowel ectopic varices utilizing a transhepatic antegrade approach: A case series.

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