The use of cyanoacrylate in the treatment of angiodysplasias: A safe and cheap alternative to coils

Gastrointestinal angiodysplasia (GIAD) represents one of the most frequent causes of recurrent lower gastrointestinal bleeding in the elder population. Clinical manifestations are highly variable, diagnosis is done with colonoscopy or CT and management consists of either endoscopic or, more conserva...

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Bibliographic Details
Published in:BJR case reports 2022-09, Vol.8 (5)
Main Authors: Pitrone, Pietro, Stagno, Alberto, Cattafi, Antonino, Caloggero, Simona, Silipigni, Salvatore, Ascenti, Velio, Catanzariti, Francesca, Cinquegrani, Antonella, Bottari, Antonio
Format: Article
Language:English
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Summary:Gastrointestinal angiodysplasia (GIAD) represents one of the most frequent causes of recurrent lower gastrointestinal bleeding in the elder population. Clinical manifestations are highly variable, diagnosis is done with colonoscopy or CT and management consists of either endoscopic or, more conservatively, endovascular approach. Trans-arterial embolization (TAE) reduces blood flow into the lesion and may complicate with perforation, dissection, vasospasm and bowel ischaemia. To date, coils and Gelfoam represent the most employed embolizing agents, followed by PVA and onyx. We report the successful embolization of GIADs in four patients with n-butyl 2-cyanoacrylate (NBCA) and Lipiodol Ultra-Fluid (LUF): despite the reported higher risk of bowel infarction when compared with the other agents, no major complication or short-term recurrence occurred in our series.
ISSN:2055-7159
2055-7159
DOI:10.1259/bjrcr.20210130