Document Detail


Transcatheter N-butyl cyanoacrylate embolization of pseudoaneurysms.
MedLine Citation:
PMID:  20801681     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report clinical experience with N-butyl cyanoacrylate (NBCA) for embolization of pseudoaneurysms at various locations.
MATERIALS AND METHODS: Retrospective study of patients with pseudoaneurysms treated with NBCA over a 4-year period was conducted. Seventeen consecutive patients were evaluated, including three women and 14 men ranging in age from 25 to 77 years (mean, 60.6 y). NBCA was the only embolic agent used in 15 patients; in two patients, a liquid coil and a microcoil were placed before administration of NBCA. NBCA was mixed with iodized oil in a 1:3 ratio to control its polymerization time and to make it radiopaque. Diagnostic angiography and embolization were performed at the same session. Embolized sites included gastrointestinal tract (n = 6), spleen (n = 5), liver (n = 2), kidney (n = 1), chest (n = 1), oral cavity (n = 1), and buttock (n = 1).
RESULTS: NBCA embolization was successful in 16 of 17 patients (94%), with complete occlusion of pseudoaneurysms. In one patient with a gastroduodenal artery stump pseudoaneurysm, NBCA embolization failed, and a stent-graft (8 mm/40 mm) was placed in the hepatic artery, excluding the pseudoaneurysm and preserving the hepatic artery. No major complications occurred, and there were no recurrences of pseudoaneurysms.
CONCLUSIONS: NBCA embolization was an effective method for the treatment of pseudoaneurysms.
Authors:
Ha-Hun Song; Yoo-Dong Won; Young-Joo Kim
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  21     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-02-08     Revised Date:  2011-04-01    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1508-11     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 SIR. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Radiology, Cheju Halla General Hospital, Jeju, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, False / drug therapy*
Balloon Occlusion / methods*
Embolization, Therapeutic / methods*
Enbucrilate / therapeutic use*
Female
Hemostatics / therapeutic use
Humans
Male
Middle Aged
Treatment Outcome
Chemical
Reg. No./Substance:
0/Hemostatics; 6606-65-1/Enbucrilate
Comments/Corrections
Comment In:
J Vasc Interv Radiol. 2011 Mar;22(3):414-5   [PMID:  21277794 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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