Balloon-assisted coil embolization of the celiac trunk before endovascular aortic repair of thoracoabdominal aortic aneurysm.
Jpn J Radiol
; 31(3): 215-9, 2013 Mar.
Article
em En
| MEDLINE
| ID: mdl-23315017
ABSTRACT
PURPOSE:
Celiac trunk coil embolization before thoracic endovascular aneurysm repair (TEVAR) of a thoracoabdominal aortic aneurysm involving the celiac trunk can prevent type II endoleaks. One disadvantage of conventional coil embolization is the risk of coil displacement. We performed coil embolization under balloon occlusion of the celiac trunk to address this issue. MATERIALS ANDMETHODS:
Between December 2008 and January 2011, 5 patients (3 men and 2 women, mean age 76 years) were included in this study. For all patients, after confirming the collateral blood flow from the superior mesenteric artery via the pancreaticoduodenal arcades by using the balloon occlusion test, celiac trunk coil embolization proceeded under balloon occlusion of the proximal part of the celiac trunk.RESULTS:
Balloon-assisted coil embolization of the celiac trunk was completed for all patients without any complications. All coils were deployed as planned in the short segment of the celiac trunk without displacement. Coil migration, ischemic complications, and endoleaks via the celiac trunk did not arise in any of the patients over a follow-up period of 77-637 (mean 258) days.CONCLUSIONS:
Balloon-assisted coil embolization of the celiac trunk before TEVAR could be a feasible treatment option for suitable patients.
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Base de dados:
MEDLINE
Assunto principal:
Artéria Celíaca
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Aneurisma da Aorta Torácica
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Angioplastia com Balão
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Oclusão com Balão
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Catéteres
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article