Glued Angiocatheter: A Rare Complication of Intrarenal Pseudoaneurysm Glue Angioembolization

Sharma, Varun; Kumar, Santosh; Singh, SK; Mandal, AK

doi:10.4111/kju.2014.55.6.426

Cited by 2 publications

(2 citation statements)

References 9 publications

(10 reference statements)

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“…[20] The reported complications regarding NBCA include non-target vessel embolization, adhesion, and fracture of microcatheter. [25,28] However, according to our experience, NBCA embolization can be performed safely after a short learning curve. Moreover, Madhusudhan et al [25] reported the modi ed injection technique of repeated low-dose NBCA mixture (0.1-0.3 ml) injection ushing and achieved satisfactory results.…”

Section: Discussionmentioning

confidence: 80%

“…Despite the notable advantages compared with those of coils, the use of NBCA for hemobilia remains limited, perhaps due to the technical difficulties of NBCA embolization and fear of procedure-related complications. (20) The reported complications regarding NBCA include non-target vessel embolization, adhesion, and fracture of the microcatheter (25,28). However, according to our experience, NBCA embolization can be performed safely after a short learning curve.…”

Section: Discussionmentioning

confidence: 99%

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Transcatheter arterial embolization for massive hemobilia with N-butyl cyanoacrylate (NBCA) Glubran 2

et al. 2021

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Background Massive hemobilia is a life-threatening condition and therapeutic challenge. Few studies have demonstrated the use of N-butyl cyanoacrylate (NBCA) for massive hemobilia. Purpose To investigate the efficacy and safety of transcatheter arterial embolization (TAE) using NBCA Glubran 2 for massive hemobilia. Material and Methods Between January 2012 and December 2019, the data of 26 patients (mean age 63.4 ± 12.6 years) with massive hemobilia were retrospectively evaluated for TAE using NBCA. The patients’ baseline characteristics, severities of hemobilia, and imaging findings were collected. Emergent TAE was performed using 1:2–1:4 mixtures of NBCA and ethiodized oil. Technical success, clinical success, procedure-related complications, and follow-up outcomes were assessed. Results Pre-procedure arteriography demonstrated injuries to the right hepatic artery (n = 24) and cystic artery (n = 2). Initial coil embolization distal to the lesions was required in 5 (19.2%) patients to control high blood flow and prevent end-organ damage. After a mean treatment time of 11.2 ± 5.3 min, technical success was achieved in 100% of the patients without non-target embolization and catheter adhesion. Clinical success was achieved in 25 (96.2%) patients. Major complications were noted in 1 (3.8%) patient with gallbladder necrosis. During a median follow-up time of 16.5 months (range 3–24 months), two patients died due to carcinomas, whereas none of the patients experienced recurrent hemobilia, embolic material migration, or post-embolization complications. Conclusion NBCA embolization for massive hemobilia is associated with rapid and effective hemostasis, as well as few major complications. This treatment modality may be a promising alternative to coil embolization.

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