Semin intervent Radiol 2025; 42(01): 093-100
DOI: 10.1055/s-0044-1801360
Review Article

Rectal Artery Embolization for the Treatment of Hemorrhoidal Disease

Seyed S. Zakavi
1   Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
,
Mohammad Mirza-Aghazadeh-Attari
2   Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, Baltimore, Maryland
,
Arian Mansur
3   Harvard Medical School, Boston, Massachusetts
,
Peiman Habibollahi
4   Department of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, Texas
,
Nariman Nezami
5   Division of Vascular and Interventional Radiology, Department of Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia
6   Department of Radiology, Georgetown University School of Medicine, Washington, District of Columbia
7   Lombardi Comprehensive Cancer Center, Washington, District of Columbia
8   The Fischell Department of Bioengineering, University of Maryland College Park, College Park, Maryland
,
Juan C. Camacho
9   Vascular and Interventional Radiology, Radiology Associates of Florida, Sarasota, Florida
› Institutsangaben
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Abstract

The term “hemorrhoid” is commonly invoked to characterize the pathologic process of symptomatic hemorrhoidal disease instead of the normal anatomic structure. While often treated with conservative measures, rectal artery embolization offers a minimally invasive alternative for patients with persistent or severe symptoms. This technique involves blocking the blood supply to the hemorrhoids using embolic agents, reducing blood flow, and alleviating symptoms. This review explores the clinical evaluation, techniques, and outcomes associated with rectal artery embolization for the treatment of hemorrhoidal disease. A discussion of the pathophysiology of hemorrhoids, the anatomy of rectal arteries, and the embolization procedure is provided in detail. Additionally, the safety and efficacy of the technique, including potential complications and outcomes, are reviewed.



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Artikel online veröffentlicht:
24. Januar 2025

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