Transcatheter Gelfoam Embolization in Abdominal, Retroperitoneal, and Pelvic Hemorrhage

Jander, H. Peter; Russinovich, N A

doi:10.1097/00006254-198105000-00025

Cited by 4 publications

(5 citation statements)

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“…Gelatin sponge was one the first embolization agents used and is still one of the most used agents in trauma. 11 It is inexpensive, readily available, and easy to use. Gelfoam is a surgical sponge derived from a biologic substance made as a gelatin of purified porcine skin.…”

Section: Surgical Spongementioning

confidence: 99%

Embolization in Trauma: Review of Basic Principles and Techniques

Lopera

2021

Semin intervent Radiol

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Trauma is the leading cause of death in patients younger than 45 years. Over the last decade, there has been a progressive paradigm shift toward a nonoperative management of many blunt and penetrating injuries, placing interventional radiology in the forefront in this critical field. Transcatheter embolization is an established technique that plays a significant role in the modern treatment of traumatic injuries of the extremities, pelvis, and solid organs. The purpose of this article is to review the updated principles and techniques used in transcatheter embolization in trauma.

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Section: Surgical Spongementioning

confidence: 99%

Embolization in Trauma: Review of Basic Principles and Techniques

Lopera

2021

Semin intervent Radiol

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“…To date, few data exist concerning gelatin foam catheter tract embolization in the actual clinical literature. Gelatin sponge in general is a reliable embolization agent that has been used successfully in vascular interventions (18,19) and for closure of percutaneous bioptic puncture tracts (20) with a high level of biocompatibility (21). Gelatin foam pads are low in cost, widely available, and can be easily modified into the desired size (22).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous transhepatic biliary tract embolization using gelatin sponge

et al. 2019

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Background Percutaneous biliary drainage (PTBD) is a necessary procedure in several benign and malignant conditions. After PTBD removal biliocutaneous fistula is a rare but potential complication. Different embolization agents have been used for transhepatic catheter tract embolization in the past, while there is only little experience using gelatin sponge for this procedure. Purpose To evaluate the feasibility and safety of PTBD tract embolization with gelatin sponge. Material and Methods Between July 2008 and August 2017, 98 patients have been treated with PTBD access embolization using gelatin sponge. PTBD was performed in patients with malignant (67%) or benign (33%) bile duct obstruction. Outcome measures included technical success (complete cessation of bile flow out of the percutaneous access tract), clinical success (intermediate and long-term absence of biliocutaneous fistula, absence of right upper quadrant pain as typical symptom for bile leakage into the peritoneal cavity and absence of hemorrhage out of the catheter tract during follow-up inspections), and the rate of major and minor complications. Results Technical success with effective control of bile flow out of the percutaneous access tract was achieved in 97/98 patients (99.0%). Clinical success attributed to gelatin sponge embolization was documented in 96/98 procedures (98.0%). In one case, slight bleeding out of the percutaneous drainage tract occurred after drainage removal and embolization of the access tract. Bleeding was self-limiting; no blood transfusion or surgical intervention was necessary. Conclusion PTBD tract embolization with gelatin sponge is a feasible and safe method with a low rate of therapeutically relevant complications.

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“…Transcatheter vascular occlusion has been widely used to treat a variety of clinical conditions (1). Studies of different materials have been carried out to find the material and method of choice which achieves complete, permanent and safe occlusion of the main arterial trunk and peripheral circulation (2,3).…”

Section: Discussionmentioning

confidence: 99%

“…Studies of different materials have been carried out to find the material and method of choice which achieves complete, permanent and safe occlusion of the main arterial trunk and peripheral circulation (2,3). Gelfoam has the advantage of its availability, low cost, ease of delivery through conventional catheters, safety and effectiveness (1). Animal research studies conducted by Anderson et al (4) suggested that embolization using small particle material is accompanied by potential complications including passage of the material through arteriovenous shunts.…”

Section: Discussionmentioning

confidence: 99%