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Tanveer-Ul-Haq, Idris M, Salam B, et al. Comparison of microcoils and polyvinyl alcohol particles in selective microcatheter angioembolization of non variceal acute gastrointestinal hemorrhage. Pak J Med Sci. 2015;31(4):751-6doi: 10.12669/pjms.314.7240.
Tanveer-Ul-Haq, Idris, M., Salam, B., Akhtar, W., & Jamil, Y. (2015). Comparison of microcoils and polyvinyl alcohol particles in selective microcatheter angioembolization of non variceal acute gastrointestinal hemorrhage. Pakistan journal of medical sciences, 31(4), 751-6. https://doi.org/10.12669/pjms.314.7240
Tanveer-Ul-Haq, et al. "Comparison of microcoils and polyvinyl alcohol particles in selective microcatheter angioembolization of non variceal acute gastrointestinal hemorrhage." Pakistan journal of medical sciences vol. 31,4 (2015): 751-6. doi: https://doi.org/10.12669/pjms.314.7240
Tanveer-Ul-Haq, Idris M, Salam B, Akhtar W, Jamil Y. Comparison of microcoils and polyvinyl alcohol particles in selective microcatheter angioembolization of non variceal acute gastrointestinal hemorrhage. Pak J Med Sci. 2015 Jul-Aug;31(4):751-6. doi: 10.12669/pjms.314.7240. PMID: 26430397; PMCID: PMC4590394.
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Pak J Med Sci. 2015 Jul-Aug;31(4):751-6. doi: 10.12669/pjms.314.7240.

Comparison of microcoils and polyvinyl alcohol particles in selective microcatheter angioembolization of non variceal acute gastrointestinal hemorrhage.

Pakistan journal of medical sciences

Tanveer-Ul-Haq, Muhammad Idris, Basit Salam, Waseem Akhtar, Yasir Jamil

Affiliations

  1. Dr. Tanveer-Ul-Haq, FRCR, Department of Radiology, Aga Khan University Hospital, Stadium Road, 74800 Karachi, Pakistan.
  2. Dr. Muhammad Idris, FCPS, Department of Radiology, Aga Khan University Hospital, Stadium Road, 74800 Karachi, Pakistan.
  3. Dr. Basit Salam, FCPS, Department of Radiology, Aga Khan University Hospital, Stadium Road, 74800 Karachi, Pakistan.
  4. Dr. Waseem Akhtar, FCPS, Department of Radiology, Aga Khan University Hospital, Stadium Road, 74800 Karachi, Pakistan.
  5. Dr. Yasir Jamil, FCPS, Department of Radiology, Aga Khan University Hospital, Stadium Road, 74800 Karachi, Pakistan.

PMID: 26430397 PMCID: PMC4590394 DOI: 10.12669/pjms.314.7240

Abstract

OBJECTIVES: To compare the efficacy of polyvinyl alcohol (PVA) particles with microcoils in angiembolisation of non variceal acute gastrointestinal haemorrhage.

METHODS: This is a retrospective cross-sectional study of patients who underwent transcatheter angioembolization from January, 1995 to December, 2013 at Aga Khan University Hospital, Karachi. Patients were divided into two groups on basis of use of either microcoils or PVA particles and compared in terms of technical success, clinical success, re-bleeding and ischemic complication rates. Chi (χ(2)) square and Fisher's exact tests were applied and a P-value of less than 0.05 was considered statistically significant.

RESULTS: Fifty seven patients underwent angioembolization. Microcoil and PVA particles embolization was performed in 63% (36/57) and 35% (20/57) cases respectively. Technical success was achieved in all cases (100%). Clinical success rate was higher in microcoils group (92%) than PVA particles group (75%) with statistically significant P value (p=0.048). Ischemic complication was seen in one case (3%) in the microcoil group, while no such complications were seen in the PVA particles group.

CONCLUSION: In angioembolization of non variceal acute gastrointestinal haemorrhage microcoils are better than Polyvinyl alcohol particles with higher clinical success and lower re-bleed rates.

Keywords: Angio-embolization; Comparison; Gastrointestinal haemorrhage. Microcoils; Polyvinyl alcohol particles

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