From routine to stumped: An IR survival guide for gastroduodenal artery embolization (GDAE)

Authors

• Kamran Wasih, Henry Ford Health
• Shehbaz Shaikh, Henry Ford HealthFollow
• Dena Abuelroos-Siddiqui, Henry Ford HealthFollow
• G. Sinishtaj
• Nik Kolicaj, Henry Ford HealthFollow

Recommended Citation

Wasih K, Shaikh S, Abuelroos-Siddiqui D, Sinishtaj G, Kolicaj N. From routine to stumped: An IR survival guide for gastroduodenal artery embolization (GDAE). Cardiovasc Intervent Radiol 2025; 48(4):S1405.

Document Type

Conference Proceeding

Publication Date

11-12-2025

Publication Title

Cardiovasc Intervent Radiol

Keywords

arterial embolization, artificial embolization, bleeding, clinical article, clinical observation, clinical outcome, conference abstract, drug combination, drug therapy, endoscopy, false aneurysm, gastroduodenal artery, hemorrhagic shock, human, interventional radiologist, interventional radiology, peptic ulcer, pneumoperitoneum, right hepatic artery, therapy, upper gastrointestinal bleeding

Abstract

Learning Objectives 1. Review vascular anatomy pertaining to gastroduodenal artery embolization (GDAE) 2. Review embolization technique and potential pitfalls through multiple case examples Background Upper gastrointestinal bleeding related to peptic ulcer disease after failed or contraindicated endoscopie control is frequently encountered by interventional radiology. While most cases are relatively straightforward, some cases may require special technical considerations. This educational exhibit will provide the busy interventional radiologist a solid foundation on GDAE. Clinical Findings/Procedure Details GDA anatomy, including variants (i.e. replaced common and right hepatic arteries) and the significance of the supraduodenal artery/pancreaticoduodenal arcade will be discussed. Through a series of cases, an approach to targeted and empiric embolization technique for typical cases, as well as special cases involving celiac stenosis/occlusion with retrograde flow from the SMA, multi-vessel extravasation, pseudoaneurysm, and GDA stump "blowout" will also be discussed. A few cases highlighting pitfalls such as non-target embolization, rebleeding from improper sizing of coils in setting of hemorrhagic shock, and pneumoperitoneum from endoscopy will also be illustrated. Conclusion GDAE is associated with high technical and clinical success rates. Fundamental knowledge of vascular anatomy and variants, as well as an approach to embolization technique for the different angiographie bleeding presentations in the GDA vascular territory are essential for successful clinical outcomes.

Volume

48

Issue

4

First Page

S1405