Acute arterial gastrointestinal hemorrhage: efficacy of transcatheter control.

Abstract

Sixty-five sites of arterial gastrointestinal hemorrhage in 63 patients were managed with transcatheter therapy. Arterial vasopressin infusion was attempted primarily for all but three sites; embolization was used in these cases and in those for whom vasopressin infusion failed to control bleeding. The results obtained suggest that this regimen, that is, primary vasopressin infusion with embolization reserved for infusion failures or contraindications, is more effective for control of arterial gastrointestinal hemorrhage than the use of either method alone. The role of primary embolization for control of this type of bleeding may need reassessment.

• Authors: R A Clark, D P Colley, F M Eggers
• Journal: AJR. American journal of roentgenology (AJR Am J Roentgenol) Vol. 136 Issue 6 Pg. 1185-9 (Jun 1981) ISSN: 0361-803X [Print] United States
• PMID: 6786033 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Vasopressins

Topics

• Angiography
• Arteries
• Catheterization
• Embolization, Therapeutic
• Gastric Mucosa
• Gastrointestinal Hemorrhage (therapy)
• Humans
• Infusions, Intra-Arterial
• Intestinal Diseases (therapy)
• Intestine, Small
• Intestines (blood supply)
• Pylorus
• Stomach (blood supply)
• Stomach Diseases (therapy)
• Vasopressins (administration & dosage, therapeutic use)