Hemorrhoid Embolization
Superior rectal artery embolization to treat recurrent hemorrhoidal bleeding.
Hemorrhoid Embolization
Synonyms : emborrhoid procedure, superior rectal artery embolization
Background and indications
Symptomatic hemorrhoids (recurrent bleeding) not responding to medical treatment may benefit from superior rectal artery embolization, as an alternative to instrumental treatments (rubber band ligation) or surgery.
Benefits
Minimally invasive outpatient treatment, no direct anal intervention, significant bleeding reduction, rapid and painless recovery.
Procedure
Under local anesthesia, a catheter is introduced via the radial or femoral artery and guided to the superior rectal artery. Microcoils are placed to reduce arterial flow to hemorrhoidal plexuses. The procedure lasts approximately 1 hour.
Risks
Transient rectal pain, puncture site hematoma, symptom recurrence. Serious complications are exceptional.
Recovery and follow-up
Same-day discharge. Follow-up at 1 and 3 months.
Practical information
Local anesthesia. Outpatient procedure (return home the same day).
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