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Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization.

Publication ,  Journal Article
Pabon-Ramos, WM; Niemeyer, MM; Dasika, NL
Published in: Cardiovasc Intervent Radiol
October 2013

PURPOSE: To describe how peristomal varices can be successfully embolized via a percutaneous parastomal approach. METHODS: The medical records of patients who underwent this procedure between December 1, 2000, and May 31, 2008, were retrospectively reviewed. Procedural details were recorded. Median fluoroscopy time and bleeding-free interval were calculated. RESULTS: Seven patients underwent eight parastomal embolizations. The technical success rate was 88 % (one failure). All embolizations were performed with coils combined with a sclerosant, another embolizing agent, or both. Of the seven successful parastomal embolizations, there were three cases of recurrent bleeding; the median time to rebleeding was 45 days (range 26-313 days). The remaining four patients did not develop recurrent bleeding during the follow-up period; their median bleeding-free interval was 131 days (range 40-659 days). CONCLUSION: This case review demonstrated that percutaneous parastomal embolization is a feasible technique to treat bleeding peristomal varices.

Duke Scholars

Published In

Cardiovasc Intervent Radiol

DOI

EISSN

1432-086X

Publication Date

October 2013

Volume

36

Issue

5

Start / End Page

1399 / 1404

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Retrospective Studies
  • Recurrence
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Humans
  • Gastrointestinal Hemorrhage
  • Follow-Up Studies
 

Citation

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Pabon-Ramos, W. M., Niemeyer, M. M., & Dasika, N. L. (2013). Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization. Cardiovasc Intervent Radiol, 36(5), 1399–1404. https://doi.org/10.1007/s00270-013-0588-0
Pabon-Ramos, Waleska M., Matthew M. Niemeyer, and Narasimham L. Dasika. “Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization.Cardiovasc Intervent Radiol 36, no. 5 (October 2013): 1399–1404. https://doi.org/10.1007/s00270-013-0588-0.
Pabon-Ramos WM, Niemeyer MM, Dasika NL. Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization. Cardiovasc Intervent Radiol. 2013 Oct;36(5):1399–404.
Pabon-Ramos, Waleska M., et al. “Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization.Cardiovasc Intervent Radiol, vol. 36, no. 5, Oct. 2013, pp. 1399–404. Pubmed, doi:10.1007/s00270-013-0588-0.
Pabon-Ramos WM, Niemeyer MM, Dasika NL. Alternative treatment for bleeding peristomal varices: percutaneous parastomal embolization. Cardiovasc Intervent Radiol. 2013 Oct;36(5):1399–1404.
Journal cover image

Published In

Cardiovasc Intervent Radiol

DOI

EISSN

1432-086X

Publication Date

October 2013

Volume

36

Issue

5

Start / End Page

1399 / 1404

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Retrospective Studies
  • Recurrence
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Humans
  • Gastrointestinal Hemorrhage
  • Follow-Up Studies