Safety and efficacy of transcatheter embolization with Glubran ® 2 cyanoacrylate glue for acute arterial bleeding: a single-center experience with 104 patients.

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  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: United States NLM ID: 101674571 Publication Model: Print Cited Medium: Internet ISSN: 2366-0058 (Electronic) NLM ISO Abbreviation: Abdom Radiol (NY) Subsets: MEDLINE
    • Publication Information:
      Original Publication: [New York] : Springer, [2016]-
    • Subject Terms:
      Cyanoacrylates/*therapeutic use ; Embolization, Therapeutic/*methods ; Hemorrhage/*therapy; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Angiography ; Arteries ; Cyanoacrylates/adverse effects ; Embolization, Therapeutic/adverse effects ; Ethiodized Oil/therapeutic use ; Female ; Hemorrhage/mortality ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome
    • Abstract:
      Purpose: To assess the efficacy and the safety of Glubran ® 2 n-butyl cyanoacrylate metacryloxysulfolane (NBCA-MS) transcatheter arterial embolization (TAE) for acute arterial bleeding from varied anatomic sites and to evaluate the predictive factors associated with clinical success and 30-day mortality.
      Methods: A retrospective review of consecutive patients who underwent emergent NBCA-MS Glubran ® 2 TAE between July 2014 and August 2016 was conducted. Variables including age, sex, underlying malignancy, cardiovascular comorbidities, coagulation data, systolic blood pressure, and number of red blood cells units (RBC) transfused before TAE were collected. Clinical success, 30-day mortality, and complication rates were evaluated. Prognostic factors were evaluated by uni- and multivariate logistic regression analyses for clinical success, and by uni- and bivariate analyses after adjustment by bleeding sites for 30-day mortality.
      Results: 104 patients underwent technically successful embolization with bleeding located in muscles (n = 34, 32.7%), digestive tract (n = 28, 26.9%), and viscera (n = 42, 40.4%). Clinical success rate was 76% (n = 79) and 30-day mortality rate was 21.2% (n = 22). Clinical failure was significantly associated with mortality (p < 0.0001). A number of RBC units transfused greater than or equal to 3 were associated with poorer clinical success (p = 0.025) and higher mortality (p = 0.03). Complications (n = 4, 3.8%) requiring surgery occurred only at puncture site. No ischemic complications requiring further invasive treatment occurred. Mean TAE treatment time was 4.55 min.
      Conclusions: NBCA-MS Glubran ® 2 TAE is a fast, effective, and safe treatment for acute arterial bleeding whatever the bleeding site.
    • Contributed Indexing:
      Keywords: Arterial bleeding; Cyanoacrylate glue; Embolization; Gastrointestinal bleeding; Outcomes; Rectus sheath hematoma
    • Accession Number:
      0 (Cyanoacrylates)
      0 (glubran)
      8008-53-5 (Ethiodized Oil)
    • Publication Date:
      Date Created: 20170803 Date Completed: 20190612 Latest Revision: 20220408
    • Publication Date:
      20221213
    • Accession Number:
      10.1007/s00261-017-1267-4
    • Accession Number:
      28765976