Is glue embolization safe and effective for gastrointestinal bleeding?
- Author:
Shinsaku YATA
1
;
Yasufumi OHUCHI
;
Akira ADACHI
;
Masayuki ENDO
;
Shohei TAKASUGI
;
Kazumichi TSUKAMOTO
;
Kensuke MATSUMOTO
;
Mika KODANI
;
Jun MAKISHIMA
;
Shinya FUJII
Author Information
- Publication Type:Review
- Keywords: Cyanoacrylates; Gastrointestinal hemorrhage; Therapeutic embolization
- MeSH: Adhesives; Arteries; Cyanoacrylates; Embolization, Therapeutic; Enbucrilate; Gastrointestinal Hemorrhage; Gelatin; Hemorrhage; Humans; Lower Gastrointestinal Tract; Pancreaticoduodenectomy; Polyvinyl Alcohol; Porifera
- From:Gastrointestinal Intervention 2018;7(3):158-161
- CountryRepublic of Korea
- Language:English
- Abstract: Transcatheter arterial embolization using N-butyl-2-cyanoacrylate (NBCA) for gastrointestinal arterial bleeding enables higher cessation rate and lower recurrent bleeding rate compared with conventional embolic materials including gelatin sponge, metallic coil, and polyvinyl alcohol (PVA) particle. Glue embolization is particularly effective in patients with coagulopathy. Even in the lower gastrointestinal tract, ischemic bowel complications by glue embolization are comparable to other agents. Glue embolization is also effective for arterial esophageal bleeding without any serious ischemic complications although the anatomy of the esophageal artery is complex and varied. For bleeding after abdominal surgery such as pancreaticoduodenectomy or hepatic lobectomy, interventional radiologists should be careful with indicating glue embolization because the presence of fewer collateral vessels can easily result in serious ischemic complications. Modified glue such as Glubran 2 (NBCA associated with methacryloxyfulfolane) can reduce the risk of ischemic complication due to its less thermal reaction, but the outcomes seem unsatisfactory.
