Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/30148
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dc.contributor.authorNguyenhuy, Minhtuan-
dc.contributor.authorXu, Yifan-
dc.contributor.authorKok, Hong Kuan-
dc.contributor.authorMaingard, Julian-
dc.contributor.authorJoglekar, Shantanu-
dc.contributor.authorJhamb, Ashu-
dc.contributor.authorBrooks, Mark-
dc.contributor.authorAsadi, Hamed-
dc.date2022-
dc.date.accessioned2022-06-23T00:26:00Z-
dc.date.available2022-06-23T00:26:00Z-
dc.date.issued2022-05-12-
dc.identifier.citationCardiovascular and Interventional Radiology 2022; 45(9): 1351-1361en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/30148-
dc.description.abstractHaemorrhoidal disease (HD) is a common anorectal disorder which can substantially impair quality of life. Rectal artery embolisation (RAE) is a recently described technique for the management of HD, however, its clinical efficacy and safety are unclear at present. The objective of this systematic review and meta-analysis is to evaluate the clinical outcomes following RAE. The PubMed, MEDLINE and EMBASE databases were searched for studies specifying the management of haemorrhoids with RAE from January 2000 to October 2021. Primary outcomes were: French bleeding score (FBS), Visual analogue scale (VAS) for pain, general quality of life (QoL) score, and the Goligher prolapse score (GPS). Secondary outcomes were technical success, clinical success, postoperative complications, and technical outcomes. A random-effects meta-analysis was conducted. Study heterogeneity was evaluated, and sensitivity analysis was performed. Thirteen eligible studies were identified including 381 patients. Rectal artery embolisation was associated with improvements in the FBS (mean difference [MD] 2.66; 95% confidence interval [CI] 2.10-3.23), VAS (MD 1.92; 95% CI 1.58-2.27) and QoL (MD 1.41; 95% CI 1.20-3.80), although the grade of internal haemerrhoids increased with uncertain clinical significance (MD 0.30; 95% CI 0.23-0.36). Technical success was achieved in almost all procedures (99%; 95% CI 94-100%) however clinical efficacy was lower (82%; 95% CI 73-89%). Procedural duration and radiation exposure were heterogeneous. No major complications occurred. RAE demonstrates early clinical efficacy with low rates of peri-procedural complications or morbidity. RAE is a promising addition to the treatment options available for HD and warrants ongoing research.en
dc.language.isoeng-
dc.subjectEmbolizationen
dc.subjectHaemorrhoidsen
dc.subjectInterventional radiologyen
dc.subjectQuality of lifeen
dc.titleClinical Outcomes Following Rectal Artery Embolisation for the Treatment of Internal Haemorrhoids: A Systematic Review and Meta-Analysis.en
dc.typeJournal Articleen
dc.identifier.journaltitleCardiovascular and Interventional Radiologyen
dc.identifier.affiliationRadiologyen
dc.identifier.affiliationInterventional Radiology Service, Northern Health Radiology, Epping, VIC, 3076, Australiaen
dc.identifier.affiliationDepartment of General Surgery, Eastern Health, Box Hill, VIC, 3128, Australiaen
dc.identifier.affiliationDepartment of Interventional Radiology, St Vincent's Melbourne, Fitzroy, VIC, 3065, Australiaen
dc.identifier.affiliationDepartment of Interventional Radiology, Monash Health, Clayton, VIC, 3168, Australiaen
dc.identifier.affiliationWestern Hospital, Footscray, Melbourne, VIC, 3011, Australiaen
dc.identifier.affiliationPeninsula Health, Frankston, VIC, 3199, Australiaen
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/35551442/en
dc.identifier.doi10.1007/s00270-022-03154-7en
dc.type.contentTexten
dc.identifier.orcid0000-0002-4546-2079en
dc.identifier.orcid0000-0001-5034-570Xen
dc.identifier.orcid0000-0003-2475-9727en
dc.identifier.pubmedid35551442-
local.name.researcherAsadi, Hamed
item.grantfulltextnone-
item.openairetypeJournal Article-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
crisitem.author.deptRadiology-
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