Review Article

Radiofrequency Ablation for Treatment of Refractory Gastric Antral Vascular Ectasia: A Systematic Review of the Literature

Table 2

Current available evidences on treatment of GAVE with radiofrequency ablation.

AuthorYearStudy levelSampleRFA systemAverage sessionsTechnical successClinical successAEsFollow-up (months)

Gross et al. [24]2008Prospective open-label single center6HALO90Mean 1.7, range (1–3)6/6 (100%)5/6 (83%)None2
Mean Hb gain 8.6 → 10.2
McGorisk et al. [25]2013Prospective open-label single center21HALOULTRAMedian 2, range (1–3)19/21 (90%)18/21 (86%)2/21 (9.5%)6
Mean Hb gain 7.8 → 10.2
Jana et al. [26]2015Prospective open-label single center7HALOULTRAMedian 2, range (1–3)7/7 (100%)5/7 (71%)None6
Mean Hb gain 9.3 → 10.1
Raza and Diehl [27]2015Prospective open-label single center9HALO90Median 3, range (2–6)9/9 (100%)6/9 (67%)None11
Mean Hb gain 7.3 → 10.5
Dray et al. [28]2014Retrospective multicentric24HALO90 or HALOULTRAMean 1.8 ± 0.8Not reported15/24 (62%)None6
Mean Hb gain 6.8 → 9.8
Thandassery et al. [29]2014Case report1HALO902YesYesNone1
Hb gain 8 → 12
Islam et al. [30]2014Case report1HALOTTS1YesYesNone1
Hb gain 6→ 10.7
Ibáñez-Sanz et al. [31]2015Case report1HALO902YesYesNone3
Hb gain 7.5 →12
Trindade et al. [32]2016Case report1HALONd3YesNot reportedNone6
Gaslightwala et al. [33]2014Case report1HALO904Not reportedNot reportedYesNot reported

Technical success: feasibility of therapy and complete endoscopic ablation of GAVE; clinical success: hemoglobin improvement and complete independence from the need for transfusions after follow-up; RFA: radiofrequency ablation; AEs: adverse events.