Clinical efficacy of transcatheter embolization of visceral artery pseudoaneurysms using N-butyl cyanoacrylate (NBCA)

Won, Yong Sung; Lee, S.L.; Kim, Y.; Ku, Young Mi

doi:10.1016/j.diii.2015.01.003

Cited by 52 publications

(36 citation statements)

References 20 publications

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“…The present study had a technical success rate and clinical success rate of 100% for transcatheter embolization using NBCA as was seen by Izaki et al, ( n = 12),[3] Madhusudhan et al, ( n = 31),[6] Won et al, ( n = 10)[14] in their studies on use of NBCA for embolization of visceral artery pseudoaneurysms. Song et al,[2] reported 92.3% (12 of 13 patients) technical success rate for transcatheter embolization of GI arterial, splenic artery, and hepatic arterial pseudoaneurysms using NBCA.…”

Section: Discussionsupporting

confidence: 72%

“…Madhusudhan et al,[6] reported 9.7% recurrences (3 out of 31 patients) within 30 days of transcatheter embolization which were managed by repeat embolization. Song et al,[2] Izaki et al,[3] and Won et al,[14] reported no recurrences. No recurrence of bleeding was seen in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Complication rates varied from 0% to 16.6%[23614] in earlier studies that employed transcatheter NBCA injection for the management of visceral artery aneurysm and pseudoaneurysms. Song et al,[2] and Won et al,[14] did not experience any complication in their cases.…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous Direct Needle Puncture and Transcatheter N-butyl Cyanoacrylate Injection Techniques for the Embolization of Pseudoaneurysms and Aneurysms of Arteries Supplying the Hepato-pancreato-biliary System and Gastrointestinal Tract

Yadav

Boruah

Bhattacharyya

et al. 2016

Journal of Clinical Imaging Science

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Aims:The aim of this study was to evaluate the safety and clinical efficacy of percutaneous direct needle puncture and transcatheter N-butyl cyanoacrylate (NBCA) injection techniques for the embolization of pseudoaneurysms and aneurysms of arteries supplying the hepato-pancreato-biliary (HPB) system and gastrointestinal (GI) tract.Subjects and Methods:A hospital-based cross-sectional retrospective study was conducted, where the study group comprised 11 patients with pseudoaneurysms/aneurysms of arteries supplying the HPB system and GI tract presenting to a tertiary care center from January 2015 to June 2016. Four patients (36.4%) underwent percutaneous direct needle puncture of pseudoaneurysms with NBCA injection, 3 patients (27.3%) underwent transcatheter embolization with NBCA as sole embolic agent, and in 4 patients (36.4%), transcatheter NBCA injection was done along with coil embolization.Results:This retrospective study comprised 11 patients (8 males and 3 females) with mean age of 35.8 years ± 1.6 (standard deviation [SD]). The mean volume of NBCA: ethiodized oil (lipiodol) mixture injected by percutaneous direct needle puncture was 0.62 ml ± 0.25 (SD) (range = 0.5–1 ml), and by transcatheter injection, it was 0.62 ml ± 0.37 (SD) (range = 0.3–1.4 ml). Embolization with NBCA was technically and clinically successful in all patients (100%). No recurrence of bleeding or recurrence of pseudoaneurysm/aneurysm was noted in our study.Conclusions:Percutaneous direct needle puncture of visceral artery pseudoaneurysms and NBCA glue injection and transcatheter NBCA injection for embolization of visceral artery pseudoaneurysms and aneurysms are cost-effective techniques that can be used when coil embolization is not feasible or has failed.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

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Percutaneous Direct Needle Puncture and Transcatheter N-butyl Cyanoacrylate Injection Techniques for the Embolization of Pseudoaneurysms and Aneurysms of Arteries Supplying the Hepato-pancreato-biliary System and Gastrointestinal Tract

Yadav

Boruah

Bhattacharyya

et al. 2016

Journal of Clinical Imaging Science

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“…In further comparison of these liquid embolics, NBCA has a very short working time due to rapid polymerization upon contact with ionic fluid ( i.e. blood) and can adhere to any material including vessel walls proximal to the intended target, and even the delivery system itself [77]. This can lead to permanent catheter occlusion requiring replacement of the delivery system and increasing procedure times, or even adherence of the catheter itself to the vessel wall.…”

Section: Commercially Available Materialsmentioning

confidence: 99%

Polymeric materials for embolic and chemoembolic applications

Poursaid

Jensen

Huo

et al. 2016

Journal of Controlled Release

113

103

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Percutaneous transcatheter embolization procedures involve the selective occlusion of blood vessels. Occlusive agents, referred to as embolics, vary in material characteristics including chemical composition, mechanical properties, and the ability to concurrently deliver drugs. Commercially available polymeric embolics range from gelatin foam to synthetic polymers such as poly(vinyl alcohol). Current systems under investigation include tunable, bioresorbable microspheres composed of chitosan or poly(ethylene glycol) derivatives, in situ gelling liquid embolics with improved safety profiles, and radiopaque embolics that are trackable in vivo. This article reviews commercially available materials used for embolization as well as polymeric materials that are under investigation.

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“…Regarding embolization, metallic coils are used most often, while N-butyl-1,2-cyanoacrylate is rarely used because of handling difficulty and concerns regarding potentially fatal complications related to ischemic injury. However, N-butyl-1,2-cyanoacrylate has benefits if the vessels are too small or too tortuous to reach the aneurysm and keep stable catheter positioning, both of which are essential for coil embolization [10]. In this case, since the artery was too tortuous, we selected angiographic embolization with the mixture of N-butyl-1,2-cyanoacrylate and lipiodol as treatment and had successful results.…”

Section: Discussionmentioning

confidence: 99%

A Case of Successful Treatment of Ruptured Pancreaticoduodenal Artery Aneurysm Caused by Celiac Artery Dissection

Kimura

Tsuchiya

Nakamura

et al. 2018

Case Rep Gastroenterol

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A 52-year-old man was admitted due to severe epigastric lesion pain. Esophagus gastroduodenal endoscopy showed impaired duodenal dilatation, and contrast-enhanced computed tomography revealed a pancreaticoduodenal artery (PDA) aneurysm 13 mm in diameter below the head of the pancreas, retroperitoneal hematoma, idiopathic celiac artery (CA) dissection, and common hepatic artery disruption. Angiographic embolization with a mixture of N-butyl-1,2-cyanoacrylate and lipiodol was performed, and follow-up study showed improvement of the dilatation of the duodenum and disappearance of the aneurysm. Here we report a quite rare case of PDA aneurysm by idiopathic dissection of CA treated successfully with angiographic embolization.

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Clinical efficacy of transcatheter embolization of visceral artery pseudoaneurysms using N-butyl cyanoacrylate (NBCA)

Abstract: Transcatheter embolization using NBCA for the treatment of visceral pseudoaneurysms is a safe, effective, and low-cost treatment method with a high success rate.

Cited by 52 publications

References 20 publications

Percutaneous Direct Needle Puncture and Transcatheter N-butyl Cyanoacrylate Injection Techniques for the Embolization of Pseudoaneurysms and Aneurysms of Arteries Supplying the Hepato-pancreato-biliary System and Gastrointestinal Tract

Percutaneous Direct Needle Puncture and Transcatheter N-butyl Cyanoacrylate Injection Techniques for the Embolization of Pseudoaneurysms and Aneurysms of Arteries Supplying the Hepato-pancreato-biliary System and Gastrointestinal Tract

Polymeric materials for embolic and chemoembolic applications

A Case of Successful Treatment of Ruptured Pancreaticoduodenal Artery Aneurysm Caused by Celiac Artery Dissection

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