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Rofo. 2021 Nov 18; doi: 10.1055/a-1662-5487. Epub 2021 Nov 18.

Embolization of Hemorrhoidal Arteries: A Novel Endovascular Therapy Option for the Treatment of Hemorrhoidal Disease.

RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin

[Article in German]
Ludger Feyen, Patrick Freyhardt, Peter Schott, Christoph Wullstein, Alexandra Dimitriou-Zarra, Marcus Katoh

Affiliations

  1. Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Krefeld, Germany.
  2. School of Medicine, University Witten-Herdecke Faculty of Health, Witten, Germany.
  3. Department of General, Abdominal and Minimally Invasive Surgery, HELIOS Klinikum Krefeld, Germany.

PMID: 34794188 DOI: 10.1055/a-1662-5487

Abstract

BACKGROUND:  Hemorrhoids are a widespread disease. Treatment options range from dietary measures to open surgery. A novel treatment approach is the embolization of the hemorrhoidal arteries.

METHOD:  A review was performed based on a selective literature search in PubMed representing the current state of research. The keywords "hemorrhoid" and "embolization" and "emborrhoid" were used. In addition, technical details of the hemorrhoidal embolization procedure are explained.

RESULTS AND CONCLUSION:  Embolization of hemorrhoidal arteries is a safe treatment, which allows efficient symptom control even in patients with contraindications for open surgery.

KEY POINTS:   · Embolization of hemorrhoidal arteries is a new approach to the treatment of hemorrhoids.. · Embolization of hemorrhoidal arteries is feasible in patients with contraindications for open surgery such as hypercoaguable states and contraindications for general anesthesia.. · The endovascular approach causes no rectal and anal trauma and associated complications can be avoided.. · The treatment of bleeding hemorrhoids seems to be particularly effective.. · No ischemic complications have been reported so far when coils as well as particles were used..

CITATION FORMAT: · Feyen L, Freyhardt P, Schott P et al. Hämorrhoidenembolisation: Eine neue minimalinvasive endovaskuläre Therapieoption bei Hämorrhoidalleiden. Fortschr Röntgenstr 2021; DOI: 10.1055/a-1662-5487.

Thieme. All rights reserved.

Conflict of interest statement

The authors declare that they have no conflict of interest.

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