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Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report.
Sekino, Hirofumi; Ishii, Shiro; Ishigame, Teruhide; Ando, Tatsuya; Kawamoto, Natsumi; Endo, Yoshiki; Kuroiwa, Daichi; Ito, Hiroshi.
Afiliación
  • Sekino H; Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan.
  • Ishii S; Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan.
  • Ishigame T; Department of Hepato-Biliary-Pancreatic and Transplant Surgery, Fukushima Medical University, Fukushima, Japan.
  • Ando T; Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan.
  • Kawamoto N; Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan.
  • Endo Y; Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan.
  • Kuroiwa D; Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan.
  • Ito H; Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan.
Radiol Case Rep ; 19(6): 2282-2285, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38559651
ABSTRACT
Coil migration can occur when coil embolization is used for treating pseudoaneurysms associated with large arteries. The double microcatheter technique is useful for preventing coil migration; the balloon catheter can reduce blood flow and active bleeding upon balloon inflation, and can also compress the bleeding point and arrest bleeding temporarily. We report a case describing the management of a pseudoaneurysm with coil embolization using double microcatheters and a balloon catheter to control blood flow and prevent coil migration. A 73-year-old male patient presented with a pseudoaneurysm of the celiac artery arising from the splenic artery stump following surgery. Coil embolization of the pseudoaneurysm using a double microcatheter embolization technique with a balloon catheter was considered. A balloon catheter was inserted into the celiac artery and active bleeding was temporarily arrested with the inflated balloon. First, a microcatheter was inserted into the balloon catheter, and another microcatheter was placed in the celiac artery. An electrical detachable coil was inserted into the proximal common hepatic artery just distal to the pseudoaneurysm. The second electrically detachable coil was inserted while the first coil remained attached. After detachment of the second coil, additional electrically detachable coils were inserted for similar embolization. The balloon was gradually deflated. Finally, the first coil was detached and we confirmed absence of the bleeding. Our case report demonstrated that a balloon catheter can control the flow vessels, and the double microcatheter embolization technique with a balloon catheter is useful for coil embolization in high-flow or large vessels.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Radiol Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Radiol Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos