Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysis
Abstract This report is of a systematic review and meta-analysis evaluating the efficacy and safety of transcatheter arterial embolization (TAE) for nonvariceal gastrointestinal bleeding (GIB) with n-butyl cyanoacrylate (NBCA) or coils as the primary embolic agent. The primary outcome was the clinic...
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Nature Portfolio
2024-11-01
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| Online Access: | https://doi.org/10.1038/s41598-024-79133-4 |
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| author | Tomohiro Matsumoto Rika Yoshimatsu Junki Shibata Marina Osaki Hitomi Maeda Kana Miyatake Yoshinori Noda Tomoaki Yamanishi Yasutaka Baba Tomohiro Hirao Takuji Yamagami |
| author_facet | Tomohiro Matsumoto Rika Yoshimatsu Junki Shibata Marina Osaki Hitomi Maeda Kana Miyatake Yoshinori Noda Tomoaki Yamanishi Yasutaka Baba Tomohiro Hirao Takuji Yamagami |
| author_sort | Tomohiro Matsumoto |
| collection | DOAJ |
| description | Abstract This report is of a systematic review and meta-analysis evaluating the efficacy and safety of transcatheter arterial embolization (TAE) for nonvariceal gastrointestinal bleeding (GIB) with n-butyl cyanoacrylate (NBCA) or coils as the primary embolic agent. The primary outcome was the clinical success rate. The secondary outcomes were technical success rates, 30-day rebleeding rates, major complication rates, and 30-day overall mortality rates. A systematic search was performed in PubMed, Embase, and Cochrane Library. Articles included had been published in English from January 2000 to August 2023 and assessed patients with nonvariceal upper and lower GIB (UGIB and LGIB) who received TAE with NBCA or coils. Single-arm meta-analyses were performed for these outcomes. Subgroup analyses comparing NBCA and coils were conducted if there were more than 10 articles selected for each outcome. Thirty-seven articles were selected for analysis. The pooled rates of TAE for UGIB and LGIB were clinical success 73.0% and 76.5%, technical success 94.9% and 91.4%, 30-day rebleeding 25.0% and 17.1%, major complications 3.5% and 10.0%, and 30-day overall mortality 20.7% and 11.4%, respectively. The subgroup analysis showed a significant difference only for the technical success rates of LGIB between NBCA and the coils (p < 0.001). The systematic review and meta-analysis indicate that TAE with NBCA or coils as the primary embolic agent is safe and effective for both UGIB and LGIB. |
| format | Article |
| id | doaj-art-4d0ed2a3057e45ac86d848e7e7f77b9a |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-4d0ed2a3057e45ac86d848e7e7f77b9a2024-11-10T12:22:33ZengNature PortfolioScientific Reports2045-23222024-11-0114111310.1038/s41598-024-79133-4Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysisTomohiro Matsumoto0Rika Yoshimatsu1Junki Shibata2Marina Osaki3Hitomi Maeda4Kana Miyatake5Yoshinori Noda6Tomoaki Yamanishi7Yasutaka Baba8Tomohiro Hirao9Takuji Yamagami10Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityDepartment of Diagnostic Radiology, International Medical Centre, Saitama Medical UniversityDepartment of Public Health, Faculty of Medicine, Kagawa UniversityDepartment of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi UniversityAbstract This report is of a systematic review and meta-analysis evaluating the efficacy and safety of transcatheter arterial embolization (TAE) for nonvariceal gastrointestinal bleeding (GIB) with n-butyl cyanoacrylate (NBCA) or coils as the primary embolic agent. The primary outcome was the clinical success rate. The secondary outcomes were technical success rates, 30-day rebleeding rates, major complication rates, and 30-day overall mortality rates. A systematic search was performed in PubMed, Embase, and Cochrane Library. Articles included had been published in English from January 2000 to August 2023 and assessed patients with nonvariceal upper and lower GIB (UGIB and LGIB) who received TAE with NBCA or coils. Single-arm meta-analyses were performed for these outcomes. Subgroup analyses comparing NBCA and coils were conducted if there were more than 10 articles selected for each outcome. Thirty-seven articles were selected for analysis. The pooled rates of TAE for UGIB and LGIB were clinical success 73.0% and 76.5%, technical success 94.9% and 91.4%, 30-day rebleeding 25.0% and 17.1%, major complications 3.5% and 10.0%, and 30-day overall mortality 20.7% and 11.4%, respectively. The subgroup analysis showed a significant difference only for the technical success rates of LGIB between NBCA and the coils (p < 0.001). The systematic review and meta-analysis indicate that TAE with NBCA or coils as the primary embolic agent is safe and effective for both UGIB and LGIB.https://doi.org/10.1038/s41598-024-79133-4Embolization, TherapeuticGastrointestinal HemorrhageRadiology, InterventionalSystematic ReviewMeta-Analysis |
| spellingShingle | Tomohiro Matsumoto Rika Yoshimatsu Junki Shibata Marina Osaki Hitomi Maeda Kana Miyatake Yoshinori Noda Tomoaki Yamanishi Yasutaka Baba Tomohiro Hirao Takuji Yamagami Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysis Scientific Reports Embolization, Therapeutic Gastrointestinal Hemorrhage Radiology, Interventional Systematic Review Meta-Analysis |
| title | Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysis |
| title_full | Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysis |
| title_fullStr | Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysis |
| title_full_unstemmed | Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysis |
| title_short | Transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n-butyl cyanoacrylate or coils: a systematic review and meta-analysis |
| title_sort | transcatheter arterial embolization of nonvariceal gastrointestinal bleeding with n butyl cyanoacrylate or coils a systematic review and meta analysis |
| topic | Embolization, Therapeutic Gastrointestinal Hemorrhage Radiology, Interventional Systematic Review Meta-Analysis |
| url | https://doi.org/10.1038/s41598-024-79133-4 |
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