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Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...

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Microvascular Embolism Mouse Model for In Vivo Two-photon Microscopy Using Fluorescent Polystyrene Microspheres
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Double microcatheter single vascular access embolization technique for complex peripheral vascular pathology.

Craig R Greben1, Avi Setton, Daniel Putterman

  • 1Department of Radiology, North Shore University Hospital, Manhasset, NY 11030, USA. craig.greben@gmail.com

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This novel embolization technique uses two microcatheters for safe, controlled exclusion of complex vascular pathologies, reducing risks in high-flow situations and large aneurysms.

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Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Endovascular Therapy

Background:

  • Complex vascular pathologies often pose treatment challenges due to high flow rates and anatomical complexity.
  • Existing embolization techniques may carry risks of coil migration and non-target embolization in such cases.
  • The need for precise coil placement and repositioning is critical for successful outcomes.

Observation:

  • A new embolization technique utilizing a single vascular access and two microcatheters was developed.
  • This method allows for enhanced control over coil deployment.
  • The technique was applied to a variety of complex vascular lesions.

Findings:

  • The described technique enabled safe and controllable exclusion of complex vascular pathologies, including pulmonary arteriovenous malformations, renal and visceral artery aneurysms/fistulae, and aortic pseudoaneurysms.
  • Precise placement and repositioning of embolic coils were achieved.
  • Successful endovascular closure was observed in all treated patients, even in high-flow scenarios and large aneurysms.

Implications:

  • This technique offers a safer and more effective approach for treating challenging vascular malformations and aneurysms.
  • It minimizes risks associated with coil migration and non-target embolization.
  • The method expands the possibilities for endovascular intervention in complex vascular disease.