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Perehodov S.N.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Karpun N.A.

Demikhov Moscow City Clinical Hospital

Sniczar’ A.V.

V.P. Demihov City Clinical Hospital of the Moscow City Health Department

Zelenin D.A.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Varfalomeev S.I.

V.P. Demihov City Clinical Hospital of the Moscow City Health Department

Martyntsov A.A.

Demikhov Moscow City Clinical Hospital

Matkov I.V.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Pankratov A.A.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov;
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Endovascular embolization for prevention of recurrent bleeding from the upper gastrointestinal tract

Authors:

Perehodov S.N., Karpun N.A., Sniczar’ A.V., Zelenin D.A., Varfalomeev S.I., Martyntsov A.A., Matkov I.V., Pankratov A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(1): 30‑38

DOI: 10.17116/hirurgia202301130

Read: 2637 times

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Table of contents

ENDOVASCULAR EMBOLIZATION FOR PREVENTION OF RECURRENT BLEEDING FROM THE UPPER GASTROINTESTINAL TRACT
ENDOVASCULAR EMBOLIZATION FOR PREVENTION OF RECURRENT BLEEDING FROM THE UPPER GASTROINTESTINAL TRACT

To cite this article:

Perehodov SN, Karpun NA, Sniczar’ AV, et al. Endovascular embolization for prevention of recurrent bleeding from the upper gastrointestinal tract. Pirogov Russian Journal of Surgery. 2023;(1):30‑38. (In Russ.)
https://doi.org/10.17116/hirurgia202301130

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
Russian consensus on the diagnosis and treatment of gastroduodenal ulce­rative bleeding. Piro­gov Russian Journal of Surgery. 2026;(6):6-14
Abstract:

OBJECTIVE

To evaluate the results of preventive endovascular hemostasis in patients with high risk of recurrent bleeding from the upper gastrointestinal tract.

MATERIAL AND METHODS

We analyzed treatment outcomes in 158 patients with ulcerative gastroduodenal bleeding and high risk of recurrence (≥17 scores), Forrest 1—2 A/B and mortality (SAPS II score ≥30). Endovascular embolization of the left gastric or gastroduodenal artery was performed to prevent recurrent bleeding.

RESULTS

Endovascular hemostasis was technically successful in 94.4% of cases (153 patients). Embolization could not be performed due to technical reasons in 5 patients. One patient developed retroperitoneal hematoma as a complication after transcatheter angiography and embolization that required surgical intervention. Recurrent bleeding after technically successful embolization occurred in 11 (7%) patients. The PVA microemboli and spirals were used for embolization of the left gastric and gastroduodenal arteries, respectively. Additional PVA microemboli were also used in gastroduodenal artery in some cases. Twenty-six (16.5%) patients died.

CONCLUSION

Endovascular hemostasis in patients with severe comorbidities (SAPS II score ≥30) and high risk of recurrent bleeding (≥17 scores) reduced the incidence of recurrent bleeding to 6.96% and mortality to 17%.

Keywords:

gastroduodenal bleeding
vascular embolization
prevention of bleeding recurrence

Authors:

Perehodov S.N.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Karpun N.A.

Demikhov Moscow City Clinical Hospital

Sniczar’ A.V.

V.P. Demihov City Clinical Hospital of the Moscow City Health Department

Zelenin D.A.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Varfalomeev S.I.

V.P. Demihov City Clinical Hospital of the Moscow City Health Department

Martyntsov A.A.

Demikhov Moscow City Clinical Hospital

Matkov I.V.

City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Pankratov A.A.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov;
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department

Received:

11.02.2022

Accepted:

30.08.2022

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