%0 Journal Article
%T Outpatient Transradial Emborrhoid Technique: A Pilot Study.
%A Iezzi R
%A Campenni P
%A Posa A
%A Parello A
%A Rodolfino E
%A Marra AA
%A Ratto C
%A Manfredi R
%J Cardiovasc Intervent Radiol
%V 44
%N 8
%D Aug 2021
%M 33977328
%F 2.797
%R 10.1007/s00270-021-02856-8
%X <B>OBJECTIVE: </B>To determine whether outpatient transradial emborrhoid technique can be performed safely and effectively in the treatment of symptomatic hemorrhoids.<BR><B>METHODS: </B>The transradial emborrhoid technique was used to treat 12 patients with symptomatic hemorrhoids in an outpatient setting during a 4-month period. After percutaneous catheterization of the left radial artery, a 5-Fr sheath was introduced to catheterize the inferior mesenteric artery and a microcatheter was advanced into the branches of the superior rectal artery for embolization with 0.018-inch detachable coils (Interlock and IDC-interlocking detachable coils). After embolization, the sheath was withdrawn and puncture site hemostasis was achieved using a wrist band. All patients were evaluated 6 h after the procedure to determine whether they meet the discharge criteria and were discharged the following day. The results of the emborrhoid treatment were assessed at the 4-week follow-up.<BR><B>RESULTS: </B>The emborrhoid technique was successful in all patients. There was no major complication associated with the procedure. All patients met the discharge criteria 6 h after the procedure. Reduction of local edema and of hemorrhoidal congestion was observed in all patients. At the follow-up visit, the mean Rorvik score (HDSS + SHS-HD) decreased from 31.50 (7.50) to 13.11 (8.33) (p < .001).<BR><B>CONCLUSIONS: </B>Transradial rectal artery embolization is a safe and effective treatment option for patients with chronic symptoms of hemorrhoid disease.