EFFECTIVE TREATMENT OPTION FOR PATIENTS
- Less invasive than a hemorrhoidectomy surgery
- Less recurrence5,6,7 than rubber band ligation8
- Up to 80%-90% clinical efficacy with low recurrence rates9
QUICK AND EFFICIENT PROCEDURE
- Access via radial or femoral approach using best-in-class tools from Terumo
- Choose from Terumo’s full offering of embolics, including HydroPearl™ Microspheres and AZUR™ Embolization System Coils
- Allows for same-day discharge
TREAT MORE PATIENTS
- Large potential patient population1,2
- Expands treatment options for patients
- Minimally invasive and effective option for patients
Hemorrhoid Artery Embolization: Terumo Solutions for Procedural Success
HAE is a catheter-based, image-guided procedure performed under conscious sedation and local anesthesia. The goal is to reduce arterial blood flow to the hemorrhoidal cushions, leading to shrinkage and symptom relief.
GLIDEWIRE GT-R™ Hydrophilic Coated Guidewire
Reshaping the Standard of Precision
PROGREAT® Microcatheter
Advanced Microcatheter Solutions for Precision Vascular Access
HYDROPEARL™ Microspheres
Designed for Controlled and Targeted Embolization
AZUR™ CX Peripheral Coil System
Soft, Reliable and Long-Lasting Occlusion
AZUR HYDROPACK™ Peripheral Coil System
Soft Packing. Long Lasting.
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Additional Resources
Video Workshop
PAE/HAE with the Pros: Complex Case Discussion to Review and Discuss | VuMedi
Featured: Justin McWilliams, Jessica Stewart, Aaron Fischman, Ari Isaacson
Video Workshop
Hemorrhoidal Artery Embolization: How We Got Here, Where We Are, and Where It's Going | VuMedi
Featured: Alex Pavidapha, MD
Study
GEST Online | Course Catalog | HAE Summit 2025
Featured: Dr. Marc Sapoval, Dr. Jafar Golzarian, Dr. Vincent Vidal
Study
Outcomes of Hemorrhoidal Artery Embolization from a Multidisciplinary Outpatient Interventional Center - ScienceDirect
Featured: Sandeep Bagla MD, Alex Pavidapha MD, Jade Lerner MD, Mustafa O. Kasimcan MD, Rachel Piechowiak DO, Kenneth Josovitz MD, Atul Marathe MD, Ari Isaacson MD, Abin Sajan MD
Study
Hemorrhoid Embolization: A Review of Current Evidences - ScienceDirect
Featured: Reza Talaie, Pooya Torkian, Arash Dooghaie Moghadam, Farouk Tradi, Vincent Vidal, Marc Sapoval, Jafar Golzarian
Study
Embolization of Rectal Arteries for Treating Hemorrhoidal Disease Using a Combination of Microspheres and Microcoils: A Pilot Study | CardioVascular and Interventional Radiology
Featured: Daniel Simões de Oliveira, José Américo Bacchi Hora, André Moreira de Assis, Airton Mota Moreira, Sérgio Carlos Nahas, Francisco César Carnevale
What is hemorrhoid artery embolization?
Hemorrhoid Artery Embolization (HAE) or embolization of hemorrhoids is a minimally invasive alternative for treating symptomatic internal hemorrhoids – particularly Grades I –III – when conservative therapies fail or surgery is contraindicated.
How does hemorrhoid artery embolization work?
Hemorrhoid Artery Embolization (HAE) effectively blocks the arteries supplying blood to the hemorrhoids. This reduces blood flow to the hemorrhoid cushions and decreases vascular congestion and bleeding symptoms. Embolization of hemorrhoids is performed by an interventional radiologist, who uses a catheter to guide a microcatheter into the artery of a patient's upper thigh or wrist. Once in position, tiny microspheres and coils are injected to block the artery, thereby reducing the blood supply to the hemorrhoids, allowing them to shrink and heal naturally.
What are the benefits of hemorrhoid artery embolization?
Embolization of hemorrhoids allows the hemorrhoids to shrink and heal naturally, providing relief from symptoms such as pain, bleeding, and swelling.
Is hemorrhoid artery embolization painful?
Hemorrhoid artery embolization is a minimally invasive procedure / non-surgical treatment with minimal pain. After hemorrhoid embolization in rare instances patients may experience mild discomfort or cramping initially, but this is far less intense than the pain associated with traditional surgical hemorrhoidectomy. The procedure is performed under local anesthesia or sedation, takes about 45 minutes, and is generally pain-free.13
What is the recovery time after hemorrhoid artery embolization?
Patients can often return to work the next day after their hemorrhoid embolization procedure, without needing an overnight hospital stay.13
References
1. Morsi S, Linares Bolsegui M, Kobeissi H, Ghozy S, Kallmes DF, Kelley SR, Mathis KL, Dozois EJ, Loftus CG, Bendel EC, Vidal V, Thompson SM. Common design and data elements on rectal artery embolization for treatment of symptomatic internal hemorrhoidal disease: an interactive systematic review of clinical trials. CVIR Endovasc. 2024 May 11;7(1):45. doi: 10.1186/s42155-024-00458-2. PMID: 38733497; PMCID: PMC11088570.
2. Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist's view. World J Gastroenterol. 2015 Aug 21;21(31):9245-52. doi: 10.3748/wjg.v21.i31.9245. PMID: 26309351; PMCID: PMC4541377.
3. Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management. Clin Colon Rectal Surg. 2016 Mar;29(1):22-9. doi: 10.1055/s-0035-1568144. PMID: 26929748; PMCID: PMC4755769.
4. https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy. Accessed 9/11/25.
5. Tradi F. et al; Embolization of the Superior Rectal Arteries for Hemorrhoidal Disease: Prospective Results in 25 Patients. J Vasc Interv Radiol. 2018 Jun; 29(6):884-892.e1
6. Küçükay M. et al; Superior Rectal Artery Embolization with Tris-Acryl Gelatin Microspheres: A Randomized Comparison of Particle Size, JVIR, Volume 32, Issue 6, 2021, Pgs. 819-825,
7. Panneau J, Mege D, Di Bisceglie M, Duclos J, Khati I, Vidal V, Gallo G and Tradi F (2025) Hemorrhoidal disease: what role can rectal artery embolization play? Front. Surg. 11:1474799. doi: 10.3389/fsurg.2024.1474799
8. Vogel JD, Felder SI, Bhama AR, Hawkins AT, Langenfeld SJ, Shaffer VO, Thorsen AJ, Weiser MR, Chang GJ, Lightner AL, Feingold DL, Paquette IM. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Colon Cancer. Dis Colon Rectum. 2022 Feb 1;65(2):148-177. doi: 10.1097/DCR.0000000000002323. PMID: 34775402.
9. Gregory C. Makris et al, Catheter-Directed Hemorrhoidal Dearterialization Technique for the Management of Hemorrhoids: A Meta-Analysis of the Clinical Evidence, Journal of Vascular and Interventional Radiology, Volume 32, Issue 8, 2021, Pgs 1119-1127, ISSN 1051-0443
10. PD111835 Rev. C PM-08035 Revised 2021-11.
11. Data on file
12. Karolin J. Paprottka et al In-vitro-study of physical properties of various embolization particles regarding morphology before, during and after catheter passage. Clinical Hemorheology and Microcirculation. 1386-0291/16.
13. https://www.mintstl.com/hemorrhoid-embolization-recovery-and-potential-side-effects/; last accessed 4/17/26