杨宁介入医学网

Endoscopy Localization for Empiric Embo

Duodenal ulcer with clot on it	Empiric GDA embo  Bleeding stopped, Hgb stabilized

Endoscopic Clip Localization

Embolization Outcomes

Targeting Extravasation vs Empiric Embolization

Padia - 2009 JVIR; 20:461

Role of Empiric GDA Embolization

40 pts with duodenal source of bleeding

Proven by endoscopy, CTA, or surgery

Dixon - CVIR 2013;36(4):970

Empiric Colonic Embo Case

Bleeding into diverticulum	Region of  bleeding tic	Post embo

Rectal CA	Met to  duodenum

• 37 angios in 26 patients
• Most had findings of tumor

• 25 empiric embolizations：Cessation of hemorrhage 17 of 25 (68%) - empiric embo 2 of 9 (22%) - non embo group
   
• Success