Proximal Occlusion of Medium-Sized Vessels with the Penumbra Occlusion Device: A Study of Safety and Efficacy
| Autor: | E. Jambon, Y. Le Bras, Nicolas Grenier, V. Dubuisson, F. Petitpierre, V. Brizzi, François Cornelis |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Infarction 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine Occlusion medicine Humans Radiology Nuclear Medicine and imaging Vascular Diseases Embolization Child Mesenteric arteries Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Penumbra Angiography Interventional radiology Middle Aged medicine.disease Embolization Therapeutic Surgery Treatment Outcome medicine.anatomical_structure Female Radiology Gonadal vein Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | CardioVascular and Interventional Radiology. 40:210-215 |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | To retrospectively investigate the safety and efficacy of hybrid proximal coiling of various medium-sized vessels (4 to 8 mm) using the Penumbra Occlusion Device (POD). From October 2014 to February 2016, 37 proximal embolizations were performed with PODs in 36 patients (mean age: 50.8, range: 10–86; 29 male, 7 female). Vessel occlusions were achieved under fluoroscopic guidance using a 2.7 French microcatheter. Among the 36 vessels targeted, 16 were splenic arteries, 11 renal arteries, 4 mesenteric arteries, 3 arteriovenous fistulae, 1 iliac artery, and 1 gonadal vein. Intermittent follow-up angiography was performed to assess the flow for final occlusion. Outcomes and complications were assessed by clinical and/or imaging follow-up. To produce proximal occlusion of the intended vessels, the POD was used alone in 19 embolizations (51.4 %). In 12 procedures (32.4 %), POD was used as a coil constrainer to secure the coil construct. In 6 procedures (16.2 %), additional embolic devices were used to achieve vessel occlusion after initial POD deployment. After a mean follow-up of 3.2 months, no POD migration was observed but two complications occurred (5.4 %): one post embolic syndrome and one extensive infarction with splenic abscess. The POD system allows safe and effective proximal embolization of medium-sized vessels in a variety of clinical settings. |
| Databáze: | OpenAIRE |
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