title: [Endovascular arterial embolization for duodenal bleeding as an alternative to surgical approach].
abstract: OBJECTIVE
  To present possibilities of transcatheter arterial embolization (TAE) in duodenal bleeding management.
  
  
  METHODS
  Treatment of 212 patients with acute duodenal bleeding for the period from 2012 to 2014 was analyzed. In 32 (22.5%) patients of the study group bleeding recurrence or its high risk was indication for TAE.
  
  
  RESULTS
  Change of surgical tactics for bleeding from upper gastrointestinal tract including endoscopic hemostasis optimization, wide introduction of TAE and sharp decrease of surgical activity reduced overall mortality to 1.6% in 2012--2014.
  
  
  CONCLUSIONS
  TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.
authors.affiliation: I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
authors.forename: V V
authors.initials: VV
authors.lastname: Bagdasarov
authors.affiliation: I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
authors.forename: E A
authors.initials: EA
authors.lastname: Bagdasarova
authors.affiliation: I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
authors.forename: A I
authors.initials: AI
authors.lastname: Chernookov
authors.affiliation: I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
authors.forename: A A
authors.initials: AA
authors.lastname: Ataian
authors.affiliation: I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
authors.forename: E V
authors.initials: EV
authors.lastname: Karchevskiĭ
authors.affiliation: I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
authors.forename: D
authors.initials: D
authors.lastname: V
mesh_terms: D000792:Angiography / Q000379:methods; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000601:surgery; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009031:Moscow; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D012189:Retrospective Studies; D020379:Risk Adjustment; D016896:Treatment Outcome