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Emborrhoid in patients with portal hypertension and chronic hemorrhoidal bleeding: preliminary results in five cases with a new coiling release fashion “Spaghetti technique”

Purpose This manuscript reports on a preliminary experience concerning emborrhoid in patients affected by cirrhotic portal hypertension; furthermore, a novel customized technique of coils release, named “Spaghetti technique,” is described. Materials and methods Five patients with chronic anemia due...

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Bibliographic Details
Published in:Radiologia medica 2020-10, Vol.125 (10), p.1008-1011
Main Authors: Giurazza, Francesco, Corvino, Fabio, Cavaglià, Errico, Silvestre, Mattia, Cangiano, Gianluca, Amodio, Francesco, De Magistris, Giuseppe, Niola, Raffaella
Format: Article
Language:English
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Summary:Purpose This manuscript reports on a preliminary experience concerning emborrhoid in patients affected by cirrhotic portal hypertension; furthermore, a novel customized technique of coils release, named “Spaghetti technique,” is described. Materials and methods Five patients with chronic anemia due to internal hemorrhoidal bleeding and cirrhotic portal hypertension were treated. Clinics and hemoglobin values were evaluated to objectively assess clinical conditions up to 3 months follow-up. Embolizations were performed with fibered coils, oversized, released stretched and not packed. Results Technical success, intended as occlusion of all superior hemorrhoidal artery branches, was 100%. In two patients, inferior hemorrhoidal arteries were embolized too. No patients reported major or minor complications. At 3-month follow-up, clinical improvement was obtained in four of the five patients; hemoglobin values improved or remained stable in the whole sample. Conclusions Based on this limited experience, emborrhoid seems to be safe and effective at 3-month follow-up to improve symptoms in patients with cirrhotic portal hypertension and chronic anemia due to hemorroidal bleeding; the stretched fashion to release oversized coils provides effective embolization.
ISSN:0033-8362
1826-6983
DOI:10.1007/s11547-020-01194-y