Hemorrhoidal disease: what role can rectal artery embolization play?

IntroductionHemorrhoidal artery embolization, also known as Emborrhoid, has emerged in recent years as a minimally invasive treatment option for patients with recurrent and unresponsive to medical therapies hemorrhoidal bleeding symptoms. We present here an overview of the profile of rectal artery e...

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Main Authors: Julien Panneau, Diane Mege, Mathieu Di Bisceglie, Julie Duclos, Idir Khati, Vincent Vidal, Gaetano Gallo, Farouk Tradi
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Surgery
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Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2024.1474799/full
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author Julien Panneau
Julien Panneau
Julien Panneau
Diane Mege
Mathieu Di Bisceglie
Mathieu Di Bisceglie
Mathieu Di Bisceglie
Julie Duclos
Idir Khati
Vincent Vidal
Vincent Vidal
Vincent Vidal
Gaetano Gallo
Farouk Tradi
Farouk Tradi
Farouk Tradi
author_facet Julien Panneau
Julien Panneau
Julien Panneau
Diane Mege
Mathieu Di Bisceglie
Mathieu Di Bisceglie
Mathieu Di Bisceglie
Julie Duclos
Idir Khati
Vincent Vidal
Vincent Vidal
Vincent Vidal
Gaetano Gallo
Farouk Tradi
Farouk Tradi
Farouk Tradi
author_sort Julien Panneau
collection DOAJ
description IntroductionHemorrhoidal artery embolization, also known as Emborrhoid, has emerged in recent years as a minimally invasive treatment option for patients with recurrent and unresponsive to medical therapies hemorrhoidal bleeding symptoms. We present here an overview of the profile of rectal artery embolization based on the most relevant and recent literature.MethodsA comprehensive review of literature on Hemorrhoidal artery embolization, was conducted on PubMed–Medline. The most relevant literature was summarized narratively.ResultsCurrent literature confirms the feasibility, efficacy and safety of rectal artery embolization for bleeding hemorrhoids. To date, the results of nearly 250 patients who have undergone hemorrhoid embolization have been published in several studies. All these authors have reported high immediate technical success, with also high clinical success, ranging from 63% to 94%, without major complications. Because of its beneficial safety profile, rectal artery embolization represents an attractive option for selected patients. In case of recurrence of bleeding it is possible to consider repeating the embolization procedure. Treatment failure may be due to the presence of anatomical variants such as dominant middle rectal arteries, which can be investigated and treated in the second session if necessary.ConclusionRectal artery embolization represents a valuable addition to the therapeutic armamentarium of bleeding hemorrhoidal disease, if patients are selected appropriately.
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spelling doaj-art-6800f6fac33d4f969ef46a140d8652eb2025-08-20T02:43:45ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011110.3389/fsurg.2024.14747991474799Hemorrhoidal disease: what role can rectal artery embolization play?Julien Panneau0Julien Panneau1Julien Panneau2Diane Mege3Mathieu Di Bisceglie4Mathieu Di Bisceglie5Mathieu Di Bisceglie6Julie Duclos7Idir Khati8Vincent Vidal9Vincent Vidal10Vincent Vidal11Gaetano Gallo12Farouk Tradi13Farouk Tradi14Farouk Tradi15Interventional Radiology Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, FranceAix Marseille Univ, LIIE, Marseille, FranceAix Marseille Univ, CERIMED, Marseille, FranceDepartment of Visceral Surgery, Aix-Marseille University, Hôpital de la Timone, Marseille, FranceInterventional Radiology Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, FranceAix Marseille Univ, LIIE, Marseille, FranceAix Marseille Univ, CERIMED, Marseille, FranceDepartment of Visceral Surgery, Aix-Marseille University, Hôpital de la Timone, Marseille, FranceInterventional Radiology Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, FranceInterventional Radiology Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, FranceAix Marseille Univ, LIIE, Marseille, FranceAix Marseille Univ, CERIMED, Marseille, FranceDepartment of Surgery, Sapienza University of Rome, Rome, ItalyInterventional Radiology Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, FranceAix Marseille Univ, LIIE, Marseille, FranceAix Marseille Univ, CERIMED, Marseille, FranceIntroductionHemorrhoidal artery embolization, also known as Emborrhoid, has emerged in recent years as a minimally invasive treatment option for patients with recurrent and unresponsive to medical therapies hemorrhoidal bleeding symptoms. We present here an overview of the profile of rectal artery embolization based on the most relevant and recent literature.MethodsA comprehensive review of literature on Hemorrhoidal artery embolization, was conducted on PubMed–Medline. The most relevant literature was summarized narratively.ResultsCurrent literature confirms the feasibility, efficacy and safety of rectal artery embolization for bleeding hemorrhoids. To date, the results of nearly 250 patients who have undergone hemorrhoid embolization have been published in several studies. All these authors have reported high immediate technical success, with also high clinical success, ranging from 63% to 94%, without major complications. Because of its beneficial safety profile, rectal artery embolization represents an attractive option for selected patients. In case of recurrence of bleeding it is possible to consider repeating the embolization procedure. Treatment failure may be due to the presence of anatomical variants such as dominant middle rectal arteries, which can be investigated and treated in the second session if necessary.ConclusionRectal artery embolization represents a valuable addition to the therapeutic armamentarium of bleeding hemorrhoidal disease, if patients are selected appropriately.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1474799/fullhemorrhoidsembolizationemborrhoidhemorrhageradiologyinterventional
spellingShingle Julien Panneau
Julien Panneau
Julien Panneau
Diane Mege
Mathieu Di Bisceglie
Mathieu Di Bisceglie
Mathieu Di Bisceglie
Julie Duclos
Idir Khati
Vincent Vidal
Vincent Vidal
Vincent Vidal
Gaetano Gallo
Farouk Tradi
Farouk Tradi
Farouk Tradi
Hemorrhoidal disease: what role can rectal artery embolization play?
Frontiers in Surgery
hemorrhoids
embolization
emborrhoid
hemorrhage
radiology
interventional
title Hemorrhoidal disease: what role can rectal artery embolization play?
title_full Hemorrhoidal disease: what role can rectal artery embolization play?
title_fullStr Hemorrhoidal disease: what role can rectal artery embolization play?
title_full_unstemmed Hemorrhoidal disease: what role can rectal artery embolization play?
title_short Hemorrhoidal disease: what role can rectal artery embolization play?
title_sort hemorrhoidal disease what role can rectal artery embolization play
topic hemorrhoids
embolization
emborrhoid
hemorrhage
radiology
interventional
url https://www.frontiersin.org/articles/10.3389/fsurg.2024.1474799/full
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