Table 1

Relevant clinical details and outcome of patients with major colonic haemorrhage treated by transcatheter coil embolotherapy

Patie nt Age (y) Sex History Pulse (beats/ min) BP (mg Hg) Hb (g/l) Units transfused Angiography findings Treatment Result Outcome
178FContinuous rectal bleed12080608Superior haemorrhoidal bleed from solitary rectal ulcer2 coilsBleeding stoppedTemporary colostomy and adrenaline swab for slight bleed at sigmoidoscopy. Died 8 weeks later of bronchopneumonia
272M5 bleeds over 72 h12095/60587Bleed from caecal branch and MCA2 coilsBleeding stoppedNo further bleeding. Occult ischaemic stricture at hepatic flexure. Well at 16 months
383F4 bleeds over 48 h>120NR6062 angiographies. First no bleeding point identified. Second bleed from MCA3 coilsBleeding stoppedNo further bleeding. Diverticular disease on barium enema. Well at 14 months
471MContinuous bleed for 12 h>12090/70746Bleed from MCASingle coilBleeding stoppedNo further bleeds. Elective right hemicolectomy for diverticular disease
584F6 heavy bleeds, previous right hemicolectomy for Crohn’s disease>12080545Diffuse bleed from left colon10 coilsFurther bleedingEmergency left hemicolectomy for Crohn’s colitis. CVA, died 48 h later
686F4 heavy bleeds in 12 h10080736Bleed from RCASingle coilBleeding stoppedNo further bleeds. Diverticular disease on barium enema. Well at 1 year
787F4 heavy bleeds in 12 h>12095/60686Bleed from caecal arterySingle coilBleeding stoppedNo further bleeds. Diverticular disease on barium enema. Well 15 months later
886FProtracted bleeding over 72 h. Dialysis patient>120NR408Bleed from LCA3 coils in marginal arteryBleeding stoppedNo further bleeds. Diverticular disease. Segment of ischaemic colon managed conservatively. Well at 14 months
986M3 heavy bleeds>12080806Caecal branch3 coilsBleeding stoppedNo further bleeding. Well at 16 months
1057MContinuous bleeding over 24 h. PMH regular rectal bleeding>120100934Superior haemorrhoidal angiodysplasia6 coilsBleeding stoppedNo further bleeding. Well at 3 months. Further minor bleeds at 6 months. Minor symptomatic rectal stenosis
11 83F5 heavy bleeds in 48 h>12080627Superior haemorrhoidal traumatic ulcerSingle coilBleeding stoppedNo further bleeding. Died 33 days later of bronchopneumonia
1279FContinuous bleeding over 24 h120100936Middle colic bleed4 coilsFurther bleeding at 24 hoursRight hemicolectomy. Hepatic flexure haemangioma
1386M3 heavy bleeds1101001004Caecal bleed 2 coilsBleeding stoppedNo further bleeding. Well at 3 months
14 82F5 heavy bleeds12080806Rectal Dieulafoy’s disease2 coilsBleeding stoppedNo further bleeding. Well at 3 months
  • CVA, cardiovascular accident; NR, not recordable; MCA, middle colic artery; RCA, right colic artery; LCA, left colic artery; PMH, post medical history.