Emergency treatment of iatrogenic coronary perforation by transcatheter embolization with gelatin sponge particles—Description of technique

2019 ◽  
Vol 94 (2) ◽  
pp. 223-226 ◽  
Author(s):  
Piotr Kałmucki ◽  
Michał Kuzemczak ◽  
Tomasz Siminiak ◽  
Artur Baszko
Keyword(s):  
Emergency Treatment ◽  
Transcatheter Embolization ◽  
Gelatin Sponge ◽  
Gelatin Sponge Particles ◽  
Coronary Perforation

Diaphragmatic weakness after transcatheter arterial chemoembolization of the right inferior phrenic artery for treatment of hepatocellular carcinoma: a comparison of outcomes after N-butyl cyanoacrylate versus gelatin sponge embolization

2020 ◽  
pp. 028418512098177
Author(s):  
Seung Yeon Noh ◽  
Dong Il Gwon ◽  
Suyoung Park ◽  
Woo Jin Yang ◽  
Hee Ho Chu ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Complete Response ◽  
Gelatin Sponge ◽  
Inferior Phrenic Artery ◽  
Gelatin Sponge Particles ◽  
Phrenic Artery ◽  
The Right ◽  
Diaphragmatic Weakness ◽  
Arterial Chemoembolization

Background The inferior phrenic artery (IPA) is the most common extrahepatic feeder for hepatocellular carcinoma (HCC) during transhepatic arterial chemoembolization (TACE). Purpose To compare the incidence of diaphragmatic weakness in patients with HCC after TACE of the right IPA conducted using either N-butyl cyanoacrylate (NBCA) or gelatin sponge particles. Material and Methods Medical records of 111 patients who underwent TACE of the right IPA using NBCA were retrospectively reviewed and compared with data from 135 patients with IPA embolization using gelatin sponge particles. Results The incidence of diaphragmatic weakness after the initial TACE procedure did not significantly differ between the groups (NBCA group 16.2%; gelatin sponge group 20.7%; P = 0.458). Five patients in the NBCA group and 11 in the gelatin sponge group showed spontaneous resolution of diaphragmatic weakness after a mean period of 3.5 months. Diaphragmatic weakness developed after the initial follow-up visit in 17 patients from the gelatin sponge group due to repeated TACE of the right IPA (mean 2.4 sessions; range 2–4 sessions), while it spontaneously developed without additional TACE procedures in one patient from the NBCA group. Permanent diaphragmatic weakness was less common in the NBCA than in the gelatin sponge group (12.6% and 25.2%, respectively; P = 0.017). The complete response rate did not significantly differ between the groups (NBCA group 16.2%; gelatin sponge group 25.9%; P = 0.065). Conclusion Use of NBCA rather than gelatin sponge particles for TACE of the right IPA resulted in a lower incidence of permanent diaphragmatic weakness.

scholarly journals Vascular administration of adenoviral vector soaked in absorbable gelatin sponge particles (GSP) prolongs the transgene expression in hepatocytes

2004 ◽  
Vol 12 (2) ◽  
pp. 116-121 ◽  
Author(s):  
Byeong-Ho Park ◽  
Jin-Hwa Lee ◽  
Jin-Sook Jeong ◽  
Seo-Hee Rha ◽  
Seung-Eun Kim ◽  
...  
Keyword(s):  
Transgene Expression ◽  
Adenoviral Vector ◽  
Gelatin Sponge ◽  
Gelatin Sponge Particles

Interest of uterine artery embolization with gelatin sponge particles prior to myomectomy for large and/or multiple fibroids

2011 ◽  
Vol 79 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Noémie Butori ◽  
Hervé Tixier ◽  
Laurence Filipuzzi ◽  
William Mutamba ◽  
Boris Guiu ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Gelatin Sponge ◽  
Artery Embolization ◽  
Gelatin Sponge Particles

Guidelines on the use of gelatin sponge particles in embolotherapy

2014 ◽  
Vol 32 (4) ◽  
pp. 242-250 ◽  
Author(s):  
Shiro Miyayama ◽  
Koichiro Yamakado ◽  
Hiroshi Anai ◽  
Daisuke Abo ◽  
Tetsuya Minami ◽  
...  
Keyword(s):  
Gelatin Sponge ◽  
Gelatin Sponge Particles

Effects of Hepatic Artery Chemoembolization Using Cisplatin–lipiodol Suspension with Gelatin Sponge Particles on Swine Liver

2009 ◽  
Vol 20 (10) ◽  
pp. 1359-1364 ◽  
Author(s):  
Shinya Sahara ◽  
Hirohiko Tanihata ◽  
Morio Sato ◽  
Nobuyuki Kawai ◽  
Isao Takasaka ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Gelatin Sponge ◽  
Gelatin Sponge Particles ◽  
Swine Liver ◽  
Hepatic Artery Chemoembolization

Effects of hepatic artery embolization with lipiodol and gelatin sponge particles on normal swine liver

1993 ◽  
Vol 16 (6) ◽  
pp. 348-354 ◽  
Author(s):  
Morio Sato ◽  
Ryusaku Yamada ◽  
Barry Uchida ◽  
Penny Hedgepeth ◽  
Josef Rosch
Keyword(s):  
Hepatic Artery ◽  
Gelatin Sponge ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Gelatin Sponge Particles ◽  
Swine Liver

scholarly journals Efficacy of percutaneous transhepatic portal vein embolization using gelatin sponge particles and metal coils

2018 ◽  
Vol 7 (4) ◽  
pp. 205846011876968 ◽  
Author(s):  
Tomohiro Komada ◽  
Kojiro Suzuki ◽  
Takashi Mizuno ◽  
Tomoki Ebata ◽  
Masaya Matsushima ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization ◽  
Clinical Status ◽  
Liver Volume ◽  
Future Liver Remnant ◽  
Gelatin Sponge ◽  
Liver Remnant ◽  
Total Liver Volume ◽  
Gelatin Sponge Particles ◽  
The Mean

Background Percutaneous transhepatic portal vein embolization (PTPE) can increase the future liver remnant (FLR) volume before extended liver resection; however, there is no current consensus regarding the best embolic material for PTPE. Purpose To evaluate the efficacy of PTPE using gelatin sponge particles and coils. Material and Methods The medical records of 136 patients who underwent PTPE using gelatin sponge particles and metal coils were retrospectively reviewed. We evaluated the procedural details, liver volume on CT, and clinical status before and after PTPE. Results The mean FLR volume increased significantly from 390 ± 147 cm3 to 508 ± 141 cm3 ( P < 0.001). A mean of 22.1 ± 9.4 days after PTPE, the mean increase in the ratio of FLR volume to total liver volume was 9.4 ± 6.5%. Complications related to PTPE occurred in five patients, including arterial damage (n = 4) and biloma (n = 1). The white blood cell count and C-reactive protein level increased significantly and then returned to baseline within seven days. Aspartate aminotransferase and alanine aminotransferase showed no significant changes. Fever (defined by the Common Terminology Criteria for Adverse Events v4.0) was reported in 74 patients (54%), but it was generally mild (Grade 1/2; n = 72). None of the patients experienced severe complications that required cancellation of surgery. Conclusion PTPE with gelatin sponge particles and coils may impose low physical stress on patients and is a safe method of inducing a significant increase of FLR.

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