{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T13:40:42Z","timestamp":1790516442942,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,2,3]],"date-time":"2017-02-03T00:00:00Z","timestamp":1486080000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this study was to assess the safety and efficacy of the emborrhoid technique (embolization of the superior haemorrhoidal arteries) in patients ineligible for surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Between January 2014 and April 2015, 30 consecutive patients (average age 58\u00a0years) suffering from disabling chronic bleeding due to haemorrhoidal disease and with a contraindication for surgery (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      23) or with a failure of instrumental or surgical treatment (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      7) underwent embolization. All cases were discussed at multidisciplinary meetings including a proctology specialist or a surgeon and an interventional radiologist. We performed super selective micro coil embolization (pushable 2\u20133\u00a0mm fibre coils) of the distal branches of the superior rectal arteries with a microcatheter, via a right femoral approach, under local anaesthesia. We assessed clinical outcome by evaluating bleeding and specific clinical scores relating to bleeding and changes in quality of life.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Immediate technical success, with no complication, was achieved in 93% of cases. A mean of 3.1 arteries per patient was embolized, with a mean of 7.6 coils per patient. Median follow\u2010up was 5\u00a0months. Clinical score improvement was observed in 72%, in 17 patients after a single embolization session, and in four additional patients after a second embolization session. No improvement in bleeding was observed in eight patients (28%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Distal coil embolization of the superior rectal arteries for disabling chronic bleeding due to haemorrhoidal disease is safe and effective in patients untreatable by surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.13430","type":"journal-article","created":{"date-parts":[[2016,6,24]],"date-time":"2016-06-24T03:42:59Z","timestamp":1466739779000},"page":"194-199","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Embolization of the superior rectal arteries for chronic bleeding due to haemorrhoidal disease"],"prefix":"10.1111","volume":"19","author":[{"given":"N.","family":"Moussa","sequence":"first","affiliation":[{"name":"Sorbonne Paris Cit\u00e9 Medicine Faculty Paris Descartes University Paris France"},{"name":"Assistance Publique \u2212 H\u00f4pitaux de Paris Interventional Radiology Department Georges Pompidou European Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Sielezneff","sequence":"additional","affiliation":[{"name":"Department of Digestive and General Surgery La Timone Hospital Marseille France"},{"name":"Aix\u2010Marseille University Marseille France"},{"name":"INSERM UMR\u2010S 1076 VRCM (Vascular Research Centre of Marseille) Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Sapoval","sequence":"additional","affiliation":[{"name":"Sorbonne Paris Cit\u00e9 Medicine Faculty Paris Descartes University Paris France"},{"name":"Assistance Publique \u2212 H\u00f4pitaux de Paris Interventional Radiology Department Georges Pompidou European Hospital Paris France"},{"name":"INSERM U970 Paris 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Unit\u00e9 d\u2019\u00c9pid\u00e9miologie et de Recherche Clinique Paris France"},{"name":"INSERM Centre d'Investigation Clinique 1418 Module d\u2019\u00c9pid\u00e9miologie Clinique Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"de Parades","sequence":"additional","affiliation":[{"name":"Department of Proctology Saint Joseph Hospital Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Vidal","sequence":"additional","affiliation":[{"name":"Aix\u2010Marseille University Marseille France"},{"name":"Department of Radiology La Timone Hospital Marseille 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