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Dergiler / Diagnostic and Interventional Radiology / 2020 / Cilt: 26 - Sayı: 3

Embolization using warmed glue via the triaxial microballoon occlusion system for various vascular disorders

Takahiko MINE
Tatsuo UEDA
Daisuke YASUI
Shohei MIZUSHIMA
Shin-ichiro KUMITA
Sayfa
241–244
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Glue (33% n-butyl cyanoacrylate mixed with Lipiodol) warmed to 40°C was injected under balloon occlusion.RESULTSThe common hepatic, right bronchial, intercostals, internal mammary, costocervical, lateral thoracic, superior thoracic, thoracoacromial, inferior thyroid, iliolumbar, lumbar, internal pudendal arteries, and branch of the inferior mesenteric artery were successfully embolized; 100% technical success and 100% clinical success were obtained after each session.CONCLUSIONOur modified balloon-occluded glue embolization may lead to better handling with more distal glue penetration capability.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:PURPOSEWe aimed to illustrate the benefits of using warmed glue for viscosity reduction via the triaxial microballoon system for the treatment of various vascular disorders.METHODSSeven patients who underwent 10 treatment sessions for hemoptysis, type II endoleak, post-pancreatic surgical bleeding, spontaneous retroperitoneal bleeding, or ovarian tumor bleeding were evaluated based on technical and clinical outcomes.
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Temel Bulgular & Veri:In the procedure, the triaxial system, consisting of a 4.5 F guiding catheter, a 2.8 F microballoon catheter, and a 1.9 F no-taper microcatheter, was advanced into the target lesion.
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Sonuç & Katkı:Glue (33% n-butyl cyanoacrylate mixed with Lipiodol) warmed to 40°C was injected under balloon occlusion.RESULTSThe common hepatic, right bronchial, intercostals, internal mammary, costocervical, lateral thoracic, superior thoracic, thoracoacromial, inferior thyroid, iliolumbar, lumbar, internal pudendal arteries, and branch of the inferior mesenteric artery were successfully embolized; 100% technical success and 100% clinical success were obtained after each session.CONCLUSIONOur modified balloon-occluded glue embolization may lead to better handling with more distal glue penetration capability.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

PURPOSEWe aimed to illustrate the benefits of using warmed glue for viscosity reduction via the triaxial microballoon system for the treatment of various vascular disorders.METHODSSeven patients who underwent 10 treatment sessions for hemoptysis, type II endoleak, post-pancreatic surgical bleeding, spontaneous retroperitoneal bleeding, or ovarian tumor bleeding were evaluated based on technical and clinical outcomes. In the procedure, the triaxial system, consisting of a 4.5 F guiding catheter, a 2.8 F microballoon catheter, and a 1.9 F no-taper microcatheter, was advanced into the target lesion. Glue (33% n-butyl cyanoacrylate mixed with Lipiodol) warmed to 40°C was injected under balloon occlusion.RESULTSThe common hepatic, right bronchial, intercostals, internal mammary, costocervical, lateral thoracic, superior thoracic, thoracoacromial, inferior thyroid, iliolumbar, lumbar, internal pudendal arteries, and branch of the inferior mesenteric artery were successfully embolized; 100% technical success and 100% clinical success were obtained after each session.CONCLUSIONOur modified balloon-occluded glue embolization may lead to better handling with more distal glue penetration capability.

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Bu Makaleye Atıf Yap

MINE, T., UEDA, T., YASUI, D., MIZUSHIMA, S., KUMITA, S. (2020). Embolization using warmed glue via the triaxial microballoon occlusion system for various vascular disorders. Diagnostic and Interventional Radiology, Cilt: 26 - Sayı: 3, 241–244. https://ajindex.com/articles/349975

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Kaynakça (2)

  1. Gounis MJ, Lieber BB, Wakhloo AK, Siekmann R, Hopkins LN. Effect of glacial acetic acid and ethiodized oil concentration on embolization with N-butyl 2-cyanoacrylate: an in vivo investigation. AJNR Am J Neuroradiol 2002; 23:938–944
  2. Hamaguchi S, Lohman BD, Ogawa Y, et al. Preliminary findings of arterial embolization with balloon-occluded and flow-dependent histoacryl glue embolization in a swine model. Jpn J Radiol 2015; 33:344–351. [CrossRef] 3. Mine T, Matsumoto T, Hayashi T, et al. A stepwise embolization strategy for a bronchial arterial aneurysm: proximal coil and distal glue with the optional use of a microballoon occlusion system. Cardiovasc Intervent Radiol 2018; 41:1267–1273. [CrossRef] 4. Kawai N, Sato M, Minamiguchi H, et al. Basic study of a mixture of N-butyl cyanoacrylate, ethanol, and lipiodol as a new embolic material. J Vasc Interv Radiol 2012; 23:1516–1521. [CrossRef] 5. Shimohira M, Hashizume T, Suzuki Y, et al. Triaxial system for embolization of type II endoleak after endovascular aneurysm repair. J Endovasc Ther 2013; 20:200–204. [CrossRef] 6. Drooz AT, Lewis CA, Allen TE, et al. Quality improvement guidelines for percutaneous transcatheter embolization. J Vasc Interv Radiol 1997; 8:889–895. [CrossRef] 7. Bracard S, Macho-Fernandez JM, Wang X, Anxionnat R, Picard L. Influence of temperature on embolisation with cyanoacrylate. Interv Neuroradiol 1998; 4:301–305. [CrossRef] 8. Takasawa C, Seiji K, Matsunaga K, et al. Properties of N-butyl cyanoacrylate-iodized oil mixtures for arterial embolization: in vitro and in vivo experiments. J Vasc Interv Radiol 2012; 23:1215–1221. [CrossRef]