Internal Hemorrhoid Treatment
No Surgery
Hemorrhoid Artery Embolization (HAE) – For Grade 1–3 Internal Hemorrhoids
Dr. Kevin Carson
Meet Our Doctor
Kevin L. Carson MD, CAQ
Dr. Kevin Carson is a board-certified interventional radiologist specializing in minimally invasive embolization procedures. He performs Hemorrhoid Artery Embolization (HAE) for patients with internal hemorrhoids (Grade 1–3), offering a non-surgical solution for rectal bleeding and discomfort. Using advanced image-guided technology, he treats the source of the problem without traditional surgery. Patients value his thoughtful, patient-first approach and clear communication.
Georgia Vascular Institute accepts many major insurance plans to help make advanced, minimally invasive hemorrhoid care more accessible for patients throughout Georgia. Accepted plans include Blue Cross Blue Shield of Georgia, Blue Cross Medicare Advantage, CIGNA Health Plan, Ambetter, CareSource, Alliant Health Plans of Georgia, Medicaid, and others. Patients are encouraged to contact the office to verify coverage and discuss treatment options prior to their appointment.
It Is Estimated That About 75% Of Adults Will Experience Hemorrhoids At Some Point In Their Lives.
Relief from Internal Hemorrhoids — Without Surgery
Hemorrhoid Artery Embolization (HAE) treats the source of internal hemorrhoids by reducing the blood supply that causes swelling and bleeding from internal hemorrhoids (Grade 1–3).
FREQUENTLY ASKED QUESTIONS (FAQs)
WHAT ARE DIFFERENT TYPES OF HEMORRHOIDS?
Hemorrhoids are cushions of fibrovascular tissue in the anus helping to seal the anus and maintain anal continence. They can be easily irritated, become enlarged and form into swellings, often caused by straining and constipation. The hemorrhoidal disease describes the swollen or inflamed state of these vascular structures inside or around the anal canal. It is the most frequent anorectal disease with 5% – 40% occurrence in the population1
Hemorrhoids can be located internal at the upper part of the anal canal in the rectum or external under the skin around the anus.
Internal Hemorrhoids are more frequent than external Hemorrhoids and can enlarge and slip out (prolapse) through the anal opening. They are graded by their size and severity from grade one to four.
Small swellings on the inside lining of the anal canal, no prolapse is present.
Larger swellings that may prolapse when pushing but go back (reduce) spontaneously.
Prolapse outside the anus and must be pushed back (reduced) manually
Permanently hang outside the anus and cannot be reduced manually, cause pain and bleeding.
SUPERIOR RECTAL ARTERY EMBOLIZATION: PROCEDURAL DETAILS
This minimally invasive procedure is less aggressive than surgical treatment. An Interventional Radiologist performs the procedure. The embolization technique is applied under local aneasthesia in patients with internal hemorrhoids of grade two or three. 2-7 Internal hemorrhoids are composed of a dense arteriovenous network called Corpus Cavernosum Recti (CCR). The embolization of the hemorrhoidal artery aims to reduce the blood flow in the CCR, thus reducing the venous pressure and the symptoms.
- A small opening measuring 1.5 mm in diameter is made in the groin area through which a thin catheter is
inserted into the femoral artery. - The catheter is guided through the superior rectal artery tree to the terminal branches while the
Interventional Radiologist watches the progress of the procedure using a a moving x-ray (fluoroscope). - Small coils are placed into the terminal branches of the arteries to seal the vessels.5,6
- It may be necessary to repeat the embolisation for hemorrhoids on the opposite side, through the same
opening and using the same catheter and microcatheter combination.
Hemorrhoidal artery coil embolization is a painless technique. The procedure time is approx. 50 min. After the procedure, patients can return home on the same day.2
With all medical procedures there are risks associated with the use of a device. Be sure to talk with your doctor so that you thoroughly understand all of the risks and benefits associated with the treatment options.
Advantages of the embolization technique:
- Leaves hemorrhoidal tissue in place
- No general anaesthesia needed
- Preserves anal continence
- Does not involve the creation of rectal wounds
- Good short-term results
Hemorrhoid Artery Embolization Procedure Benefits
Minimally Invasive:
No surgical incisions, minimal discomfort, and fast recovery time
Effective Results:
Reduction in hemorrhoid size, relief from symptoms, and improved quality of life.
Outpatient Procedure:
Conveniently performed in our clinic, avoiding the need for hospital stays.
Testimonial
Are you a Candidate for Hemorrhoid Artery Embolization (HAE)?
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