Submitted: 02 Jul 2023
Revision: 24 Oct 2023
Accepted: 27 Nov 2023
ePublished: 30 Dec 2023
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J Cardiovasc Thorac Res. 2023;15(4): 196-203.
doi: 10.34172/jcvtr.2023.32900
PMID: 38357559
PMCID: PMC10862037
  Abstract View: 312
  PDF Download: 349

Review Article

Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis

Rishabh Khurana 1 ORCID logo, Niraj Nirmal Pandey 1 ORCID logo, Sanjeev Kumar 1, Priya Jagia 1* ORCID logo

1 Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India
*Corresponding Author: Priya Jagia, Email: drpjagia@yahoo.com


The present review sought to evaluate by meta-analysis the efficacy of bariatric arterial embolization (BAE) in promoting weight loss in patients with body mass index (BMI) ranging from 25-40 kg/m2 . This study was performed and reported according to Preferred Reporting Items for Systematic reviews and Meta-analysis guidelines. A systematic literature search of MEDLINE, Embase Google Scholar, and World Health Organization Library database was done for studies evaluating BAE for promoting weight loss in patients with BMI ranging from 25-40 kg/ m2 published up to March 10, 2021. Primary outcome measure included weight loss after the embolisation procedure. Three single-arm studies comprising of a total of 28 patients (BMI: 25- 40 kg/m2 ) were found eligible for meta-analysis. All patients underwent embolization with either Embosphere microspheres or PVA particles. The predominant artery embolised was left gastric artery (in all patients). Additional arteries embolised included gastroepiploic artery (8 patients), or accessory left gastric artery (1 patient), or short gastric artery (1 patient). Pooled absolute mean weight loss was 7.854 kg (95% CI: 6.103-9.605). No significant statistical heterogeneity was detected (I2=51.75%, P=0.126) among pooled studies. In conclusion, limited single-arm studies report BAE as an effective, and relatively safe procedure for promoting weight loss in patients with BMI ranging from 25-40 kg/m2 , although the number of patients included is very small. Initial results of BAE in promoting weight loss are promising with no major/severe complications reported; however, long term follow-up is required to see the sustainability of the effects.
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