By Pascal Chabrot MD, PhD, Vincent Vidal MD, PhD, Louis Boyer MD, PhD (auth.), Pascal Chabrot, Louis Boyer (eds.)
As minimally invasive treatments, endovascular embolization and chemo-embolization at the moment are the first-choice palliative or healing healing possible choices in oncology, traumatology, useful pathology, remedy of benign tumors, and administration of publish operative issues.
This e-book is a convenient pocket advisor for trainee vascular radiologists, and serves as an aide-memoire for senior vascular radiologists. each one process is proven in its entirety and in addition discusses anticipated outcomes.
The first a part of the ebook covers the fabrics and strategies used; the second one half offers with the final physiopathological ideas of embolization; and the 3rd half analyses the most anatomo-clinical occasions and strategies.
This ebook is a convenient and obtainable consultant for fast reference aimed toward medical interventional radiologists in multidisciplinary employees rooms and angiography suites.
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The majority of the embolizations can be carried out using 4 or 5 Fr introducer sheaths. 2 Selective Catheters The initial catheterization generally requires a selective catheter, chosen for its shape, after having checked internal lumen and length compatibilities. ); others are of more universal use (Cobra C2, Terumo; Mikaelsson®, Merit). Depending upon the occlusion agent, the catheterization will be more or less selective and possibly prolonged by the use of a microcatheter. The hydrophilic catheters, often more flexible, allow more distal catheterization but are less stable.
2011;34:723–38. 29. Doyle BJ, et al. Initial experience with the Cardiva Boomerang vascular closure device in diagnostic catheterization. Catheter Cardiovasc Interv. 2007;69(2):203–8. Suggested Reading Abada H, Golzarian J. Gelatine sponge particles: handling characteristics for endovascular use. Tech Vasc Interv Radiol. 2007;10:257–60. Das R, Ahmed K, Athanasiou T, Morgan RA, Belli AM. Arterial closure devices versus manual compression for femoral haemostasis in interventional radiological procedures : a systematic review and meta-analysis.
In the event of severe hemostasis disorders, the occlusion can be significantly slowed down. • The heavily calcified landing zones can prevent a correct apposition of the plug on the vascular wall, contributing to persistent leaks. • Compared to the AVP 1, the AVPs 2 and 4 require a longer landing zone: this length must be clearly measured before the implantation, because the length of the device in the sheath does not represent its final length. It is sometimes difficult to clearly assess the shortening for the biggest AVP, and the “jump” phenomenon at the time of the deployment is even more important.