Which Arteries Are Expendable? The Practice and Pitfalls of Embolization Throughout the Body

Overview

Journal Semin Intervent Radiol

Specialty Radiology

Date 2011 Feb 18

PMID 21326510

Citations 9

Authors

Thomas R Burdick

Eric K Hoffer

Todd Kooy

Basavaraj Ghodke

Benjamin W Starnes

Karim Valji

Steve Goldberg

Danial Hallam

R Torrance Andrews

Affiliations

Soon will be listed here.

Abstract

This article outlines general concepts of, and strategies for, therapeutic embolization throughout the body, touching on all major arterial distributions. Clinical scenarios that allow or prevent safe embolization of vessels are presented. Specific agents are recommended where appropriate, as are alternate approaches when embolization is not an option. Pre-embolization precautions and adjunctive measures are described in high-risk areas.

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References

Chambers C, Curci J . Treatment of nonaortic aneurysms in the endograft era: aneurysms of the innominate and subclavian arteries. Semin Vasc Surg. 2005; 18(4):184-90. DOI: 10.1053/j.semvascsurg.2005.09.003. View

Haan J, Biffl W, Knudson M, Davis K, Oka T, Majercik S . Splenic embolization revisited: a multicenter review. J Trauma. 2004; 56(3):542-7. DOI: 10.1097/01.ta.0000114069.73054.45. View

Vaddineni S, Taylor S, Patterson M, Jordan Jr W . Outcome after celiac artery coverage during endovascular thoracic aortic aneurysm repair: preliminary results. J Vasc Surg. 2007; 45(3):467-71. DOI: 10.1016/j.jvs.2006.11.040. View

Whitley D, Cherry Jr K . Predictive value of carotid artery stump pressures during carotid endarterectomy. Neurosurg Clin N Am. 1996; 7(4):723-32. View

PUMP K . Distribution of bronchial arteries in the human lung. Chest. 1972; 62(4):447-51. DOI: 10.1378/chest.62.4.447. View

Mavroudis C, Backer C, Rocchini A, MUSTER A, Gevitz M . Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg. 1997; 63(5):1235-42. DOI: 10.1016/s0003-4975(97)00251-8. View

JOHNSTON Jr R, Wall Jr M, Mattox K . Innominate artery trauma: a thirty-year experience. J Vasc Surg. 1993; 17(1):134-9; discussion 139-40. DOI: 10.1067/mva.1993.42299. View

Riesenman P, Farber M, Mendes R, Marston W, Fulton J, Keagy B . Coverage of the left subclavian artery during thoracic endovascular aortic repair. J Vasc Surg. 2007; 45(1):90-4. DOI: 10.1016/j.jvs.2006.08.076. View

Scalea T, Sclafani S . Angiographically placed balloons for arterial control: a description of a technique. J Trauma. 1991; 31(12):1671-7. DOI: 10.1097/00005373-199112000-00018. View

10.

Baccot S, Tiffet O, Bonnot P, Perrot L, CUILLERET J . [Bilateral post-traumatic adrenal hemorrhage. Report of a case with acute adrenal insufficiency]. Ann Chir. 2000; 125(3):273-5. DOI: 10.1016/s0001-4001(00)00125-2. View

11.

Sclafani S, Shaftan G, Scalea T, Patterson L, Kohl L, Kantor A . Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis. J Trauma. 1995; 39(5):818-25; discussion 826-7. DOI: 10.1097/00005373-199511000-00004. View

12.

Mwipatayi B, Jeffery P, Beningfield S, Motale P, Tunnicliffe J, Navsaria P . Management of extra-cranial vertebral artery injuries. Eur J Vasc Endovasc Surg. 2004; 27(2):157-62. DOI: 10.1016/j.ejvs.2003.11.008. View

13.

Yoshioka H, Kuroda C, Hori S, Tokunaga K, Tanaka T, Nakamura H . Splenic embolization for hypersplenism using steel coils. AJR Am J Roentgenol. 1985; 144(6):1269-74. DOI: 10.2214/ajr.144.6.1269. View

14.

Igwilo O, Sulkowski R, Shah M, Messink W, Kinnas N . Embolization of traumatic adrenal hemorrhage. J Trauma. 1999; 47(6):1153-5. DOI: 10.1097/00005373-199912000-00032. View

15.

Orend K, Zarbis N, Schelzig H, HALTER G, Lang G, Sunder-Plassmann L . Endovascular treatment (EVT) of acute traumatic lesions of the descending thoracic aorta--7 years' experience. Eur J Vasc Endovasc Surg. 2007; 34(6):666-72. DOI: 10.1016/j.ejvs.2007.06.022. View

16.

Suzuki T, Shindo M, Kataoka Y, Kobayashi I, Nishimaki H, Yamamoto S . Clinical characteristics of pelvic fracture patients with gluteal necrosis resulting from transcatheter arterial embolization. Arch Orthop Trauma Surg. 2005; 125(7):448-52. DOI: 10.1007/s00402-005-0827-1. View

17.

Saito N, Kimura T, Toma M, Watanabe S, Imai M, Hamaguchi Y . Endovascular repair of a thoracoabdominal aortic aneurysm involving the celiac artery and the superior mesenteric artery. Ann Vasc Surg. 2006; 20(5):659-63. DOI: 10.1007/s10016-006-9027-x. View

18.

Du Toit D, Leith J, Strauss D, Blaszczyk M, de V Odendaal J, Warren B . Endovascular management of traumatic cervicothoracic arteriovenous fistula. Br J Surg. 2003; 90(12):1516-21. DOI: 10.1002/bjs.4343. View

19.

White Jr R . Bronchial artery embolotherapy for control of acute hemoptysis: analysis of outcome. Chest. 1999; 115(4):912-5. DOI: 10.1378/chest.115.4.912. View

20.

Koconis K, Singh H, Soares G . Partial splenic embolization in the treatment of patients with portal hypertension: a review of the english language literature. J Vasc Interv Radiol. 2007; 18(4):463-81. DOI: 10.1016/j.jvir.2006.12.734. View