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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2025; 17(10): 109260
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.109260
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.109260
Coil-assisted N-butyl cyanoacrylate embolization vs covered stent implantation for delayed hemorrhage in hepatobiliary and pancreatic surgery
Cheng-Jian He, Cai-Fang Ni, Department of Interventional Radiology, The First Affiliated Hospital of Soochow, Suzhou 215006, Jiangsu Province, China
Cheng-Jian He, Xiang-Dong Wang, Nai-Jian Ge, Xue Liu, Jian Huang, Wei Xu, Ye-Fa Yang, Mini-invasive Intervention Center, The Third Affiliated Hospital of the Naval Medical University, Shanghai 201800, China
Author contributions: He CJ, Ni CF, and Yang YF conceptualized and designed the study; all authors provided administrative support and study materials and/or patients. He CJ and Ni CF collected and assembled the data, analyzed and interpreted the data, and wrote the manuscript; all authors have read and approved the final manuscript.
Supported by Tengfei Project of Third Affiliated Hospital of the Naval Medical University, No. TF2024TJYQ02.
Institutional review board statement: This retrospective study was approved by the Ethics Committee of the Third Affiliated Hospital of Naval Medical University, Shanghai, China (ethics review number: EHBHKY2024-K-498).
Informed consent statement: Written informed consent was obtained from all participants for using their data in clinical research.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cai-Fang Ni, MD, Department of Interventional Radiology, The First Affiliated Hospital of Soochow, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. szncfsuda@163.com
Received: May 6, 2025
Revised: June 17, 2025
Accepted: September 8, 2025
Published online: October 27, 2025
Processing time: 171 Days and 11.3 Hours
Revised: June 17, 2025
Accepted: September 8, 2025
Published online: October 27, 2025
Processing time: 171 Days and 11.3 Hours
Core Tip
Core Tip: This relatively large study investigates the safety and efficacy of coil-assisted N-butyl cyanoacrylate (NBCA) embolization and compares it with those of covered stent implantation (CSI) when superselective arterial embolization (SAE) is infeasible. SAE and CSI were performed successfully in only 69% and 68% of patients, respectively. In contrast, we achieved much higher technical and clinical success rates for both the NBCA group (100% and 93.3%, respectively) and the CSI group (88.3% and 73.3%, respectively). In addition, the technical and clinical failure rates of the NBCA group were merely 0% and 6.7%, respectively.