Endovascular Use of Cyanoacrylate-Lipiodol Mixture for Peripheral Embolization: Properties, Techniques, Pitfalls, and Applications

Comby, Pierre-Olivier; Guillen, Kévin; Chevallier, Olivier; Lenfant, Marc; Pellegrinelli, Julie; Falvo, Nicolas; Midulla, Marco; Loffroy, Romaric

doi:10.3390/jcm10194320

Cited by 29 publications

(15 citation statements)

References 68 publications

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“…In APF, where flow rate is high, lower cyanoacrylate/ Lipiodol ratio of 1:1 or 1:2 may be used to prevent nontarget distal penetration. [17] In cases of multiple small arterial feeders supplying the fistula not amenable for subselective catheterization, injection of collagen-thrombin mixture (D-Stat) can be used to occlude the portal venous outflow of the APF. [18] Teaching points…”

Section: Discussionmentioning

confidence: 99%

Arterioportal fistula with hepatic artery pseudoaneurysm: A rare complication of percutaneous transhepatic biliary drainage

Bhardwaj

Verma

Singh

et al. 2023

CRCR

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We describe a rare complication of percutaneous transhepatic biliary drainage in a 51-year-old female with recurrent hilar cholangiocarcinoma. The patient presented with blood-mixed pericatheter leak of bile, 1 month after placement of a 10F ring biliary internal-external drainage catheter through the left-sided biliary radical. Color Doppler and triphasic computed tomography angiography revealed a pseudoaneurysm arising from segment 3 branch of the left hepatic artery and an arterioportal fistula immediately distal to the pseudoaneurysm. Endovascular coil embolization of the hepatic artery proximal to the pseudoaneurysm was done which resulted in occlusion of the pseudoaneurysm and fistula as well as clinical improvement in the symptoms.

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Section: Discussionmentioning

confidence: 99%

Arterioportal fistula with hepatic artery pseudoaneurysm: A rare complication of percutaneous transhepatic biliary drainage

Bhardwaj

Verma

Singh

et al. 2023

CRCR

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“…However, vessel remodeling can take place, leading to glue migration in the blood vessels and recanalization. [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child

Musa¹,

Ndandja²,

Barrientos³

et al. 2023

Brain Circulation

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Dural arteriovenous fistulas (DAVFs) are direct communication between the dural arterial and venous systems. They are more common in adults. In children, they are relatively rare. Hydrocephalus is a common problem in pediatrics with a variety of causes. However, very few cases of hydrocephalus as a complication of DAVF have been reported in the literature. This case describes an 8-month-old male child with a large DAVF at the torcular herophili who presented with regression of milestones and hydrocephalus. Magnetic resonance imaging (MRI) on admission showed triventricular hydrocephalus and a massively dilated torcular with a compressed fourth ventricle. Angiography confirmed the presence of a DAVF at the torcula with arterial feeders from the posterior circulation. Endovascular embolization was performed with >80% embolization of the fistula with no complications. Control MRI immediately postoperative was acceptable. No cerebrospinal fluid (CSF) diversion was performed. At a 3-month follow-up, the child had attained all developmental milestones for age. MRI showed normal CSF dynamics and a further reduction in the size of the torcula. Despite being rare, DAVFs should be considered as a possible cause of pediatric hydrocephalus, and treating them can lead to a resolution of the mechanisms inducing hydrocephalus. CSF shunting should be reserved for those cases with persistent hydrocephalus and raised intracranial pressure despite endovascular treatment.

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“…Since less amount of cyanoacrylate is used, the risk of developing complications will also decrease. 7 CAC therapy has been associated with a phlebitis-like reaction, thought to be a type IV hypersensitivity reaction. Park et al reported on the features differentiating phlebitis-like abnormal reactions from classic phlebitis for patients after CAC therapy for incompetent saphenous veins, which defined the former as an unusual skin reaction over the treated area several days after CAC therapy.…”

Section: Discussionmentioning

confidence: 99%

Complications of cyanoacrylate adhesive closure therapy in chronic venous insufficiency: A single center, single-surgeon study

Keleş

2023

Phlebology

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Objectives In this study, we present the complication data of patients we treated for chronic venous insufficiency (CVI) with cyanoacrylate adhesive closure (CAC) therapy for 2 years. Methods Complications of 382 CAC procedures performed by the same surgeon were reviewed retrospectively. Results Independent of patients, depending on the payment system of the state; two hundred twenty-three (58.4%) of 382 procedures were performed using the Venex system, and the Variclose system was used in 159 (41.6%) patients. A phlebitis-like reaction occurred in 46 (12%) patients, induration in 18 (4.7%) patients, hyperpigmentation in five (1.3%) patients, abscesses in four (1%) patients, cellulitis in three (0.8%) patients, and granuloma in one (0.3%) patient. In addition, as serious complications, deep vein thrombosis (DVT) developed in three patients and pulmonary embolism in one of these patients. Interestingly, temporary blindness was also observed in one patient. Conclusions Although CAC therapy is a reliable method, its complications should not be ignored. Its use by experienced surgeons reduces the risk of complications.

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Endovascular Use of Cyanoacrylate-Lipiodol Mixture for Peripheral Embolization: Properties, Techniques, Pitfalls, and Applications

Cited by 29 publications

References 68 publications

Arterioportal fistula with hepatic artery pseudoaneurysm: A rare complication of percutaneous transhepatic biliary drainage

Arterioportal fistula with hepatic artery pseudoaneurysm: A rare complication of percutaneous transhepatic biliary drainage

Dural arteriovenous fistula of the torcular herophili presenting with hydrocephalus and venous congestion in an 8-month-old child

Complications of cyanoacrylate adhesive closure therapy in chronic venous insufficiency: A single center, single-surgeon study

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