Establishing a multidisciplinary bariatric arterial embolization program: A two-year clinical experience

IF 5.3

Obesity Pillars Pub Date : 2025-12-01 Epub Date: 2025-09-25 DOI:10.1016/j.obpill.2025.100211

Adham Khalil , Alan J. Kim , Lawrence J. Cheskin , Selvi Rajagopal , Bill Morefield , Zoobia Chaudhry , Kimberly A. Gudzune , Clifford R. Weiss

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引用次数: 0

Abstract

Background

Bariatric arterial embolization (BAE) is an emerging, minimally invasive, image-guided procedure for treating obesity in patients for whom nonoperative treatments have failed and metabolic-bariatric surgery is not an option. BAE has shown success in clinical studies, but guidance on integrating BAE into weight management programs (WMPs) is lacking. We describe our experience with building a multidisciplinary clinical program that integrates BAE into routine care for obesity.

Methods

We conducted a retrospective, single-center observational case series of patients treated with BAE through our WMP between November 2021 and September 2023. Patient chart review was performed for the following criteria for consideration of BAE: had a body mass index ≥30 kg/m², was unable to achieve weight and health goals through nonoperative management, and was ineligible or unwilling to undergo metabolic-bariatric surgery. Through multidisciplinary discussion, BAE was deemed suitable based on various patient-specific medical and technical reasons.

Results

Thirty-one patients were considered for BAE through the program. Of those, 9 patients were cleared for BAE and 5 patients (4 women and 1 man) eventually underwent BAE. The mean age of the embolized patients was 42 years (range: 28–56). The mean pre-procedure weight was 116 kg (range: 100–134). Patients achieved a mean total body weight loss of 7.0% at 4–5 months’ follow-up and 4.2% at 12 months. BAE was performed successfully with only transient nausea and vomiting postoperatively. The mean cost for BAE was $14,329 US dollars.

Conclusions

BAE offers an obesity treatment option with low complication risk and potential benefit when used as part of a comprehensive WMP. Close collaboration between interventional radiologists and obesity medicine physicians is key for success. BAE should be offered as a component within a comprehensive WMP rather than as a stand-alone procedure.

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建立一个多学科的减肥动脉栓塞计划：两年的临床经验

背景：减肥动脉栓塞（BAE）是一种新兴的、微创的、图像引导的治疗方法，用于治疗非手术治疗失败且不能选择代谢减肥手术的肥胖患者。BAE在临床研究中取得了成功，但目前缺乏将BAE整合到体重管理项目（wmp）中的指导。我们描述了我们建立一个多学科临床项目的经验，该项目将BAE整合到肥胖的常规护理中。方法：我们对2021年11月至2023年9月期间通过我们的WMP治疗的BAE患者进行了回顾性、单中心观察病例系列。根据以下标准对患者进行病历回顾，以考虑BAE：体重指数≥30 kg/m2，无法通过非手术管理实现体重和健康目标，不符合或不愿接受代谢减肥手术。通过多学科讨论，基于各种患者特定的医学和技术原因，认为BAE是合适的。结果31例患者通过该方案被考虑为BAE。其中9例患者清除了BAE， 5例患者（4女1男）最终接受了BAE。栓塞患者的平均年龄为42岁（范围28-56岁）。手术前平均体重为116公斤（范围：100-134）。在4-5个月的随访中，患者的平均总体重减轻了7.0%，在12个月的随访中减轻了4.2%。BAE手术成功，术后仅有短暂性恶心和呕吐。BAE的平均成本为14329美元。结论：bae作为综合WMP的一部分，提供了一种并发症风险低且潜在益处的肥胖治疗选择。介入放射科医师和肥胖医学医师之间的密切合作是成功的关键。BAE应该作为综合WMP中的一个组件提供，而不是作为一个独立的过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Obesity Pillars

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