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July 29, 1974

Bleeding Duodenal Ulcer Control: Selective Arterial Embolization With Autologous Blood Clot

Author Affiliations

From the Cardiovascular Division, the departments of radiology and biological science, Johns Hopkins Medical Institutions, Baltimore.

JAMA. 1974;229(5):546-548. doi:10.1001/jama.1974.03230430038024

Previous attempts to control bleeding duodenal ulcers by intra-arterial infusion of vasoconstrictors have been largely ineffective. We have employed embolization of autologous blood clot to successfully control hemorrhage in a duodenal ulcer patient who was a poor surgical risk and whose hemorrhage was unresponsive to vasopressin administered intra-arterially. At present it is suggested that this form of therapy be utilized in patients with large-vessel bleeding, who are poor surgical risks and whose bleeding is unresponsive to intra-arterially given vasoconstrictors.

(JAMA 229:546-548, 1974)