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Year : 2020  |  Volume : 4  |  Issue : 1  |  Page : 27-31

New technique of embolization of the hemorrhoidal arteries using embolization particles alone: Retrospective results in 33patients

Department of Radiology, IR Unit, Ain Shams University Hospitals, Cairo, Egypt

Correspondence Address:
Dr. Karim A Abd El Tawab
Department of Radiology, IR Unit, Ain Shams University Hospitals, Cairo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AJIR.AJIR_21_19

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Purpose: The purpose of this study was to assess the safety and efficacy of using particles only in the embolization of the hemorrhoidal arteries for the management of hemorrhoids. Subjects and Methods: This is a retrospective study for patients treated between March 2015 and December 2018. We treated 33patients, 13 men and 20 women with a mean age of 37years (range: 18–70years), in which 11patients had GradeII hemorrhoids and 22 had GradeIII hemorrhoids. Technical and clinical successes together with procedural complications were assessed. Results: The technical success rate was 100%. No minor or major complications have been reported. No cases of anorectal ischemia, anal incontinence, hemorrhoidal thrombosis, or complications related to femoral arterial puncture have occurred. Follow-up was at 3months and 12months postembolization. Clinical success was observed in 32patients(96.9%) with improvement by at least 2 points of the French bleeding score at 3months postembolization. Conclusion: The use of particles alone in the embolization of hemorrhoidal arteries whether from the superior rectal artery and/or from the middle and inferior rectal arteries can offer a safe and effective treatment option.

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