Blind transcatheter arterial embolization: A life saving modality in refractory upper GI bleed

Abstract

Introduction: Transcatheter arterial embolization is a minimally invasive technique which is
a safe, fast and effective alternative to surgery, and is now considered the first-line therapy for
upper GI bleeding, refractory to endoscopic management.
Aim & Objectives: The initial treatment modality of any case presenting with upper GI bleed
is endoscopic hemostasis. However, this article highlights those cases who are refractory to
initial endoscopic therapy and are the candidates for surgery or interventional embolization
therapy.
Material and Methods: This case report highlights a middle-aged male presenting with
endoscopic refractory GI bleed, to a tertiary care center in North- West India.
Conclusion: Transcatheter arterial embolization is typically guided by CT angiography which
localizes the site of the bleeding vessel. However, in cases where no active bleeding vessel can
be identified, a blind procedure is performed in which the suspected vessel is targeted for
embolic therapy. In this article we discuss a case where the blind transarterial technique of
vascular bed embolization has been utilized which has revolutionized the management of
refractory upper GI bleed.