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Transcatheter embolisation of arterial aneurysms
The British Journal of Radiology
|April 1, 1986
Summary
Transcatheter embolisation effectively treats bleeding aneurysms and pseudoaneurysms. Occluding feeding vessels, rather than the aneurysm itself, is a safe and efficient technique.
Area of Science:
- Interventional Radiology
- Vascular Surgery
Background:
- Bleeding aneurysms and pseudoaneurysms pose significant clinical challenges.
- Transcatheter embolisation offers a minimally invasive treatment option.
Observation:
- Eleven cases of bleeding aneurysms/pseudoaneurysms were treated.
- Treatments involved various vascular territories, with and without arteriovenous fistulas.
- Gelfoam and steel coils were used as embolic agents.
Findings:
- Steel coil embolisation demonstrated high efficiency.
- Occluding the feeding proximal vessel, not the aneurysm cavity, was successful.
- This approach reduces the risk of aneurysm rupture and promotes clotting.
Implications:
- Transcatheter embolisation is a viable treatment for complex vascular lesions.
- Proximal vessel occlusion is a preferred, safer embolisation strategy.
- This technique preserves the aneurysm wall and facilitates thrombosis.
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