Categorised under:
Interventional Radiology
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Vascular
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Micro Catheters
This 8 minute video shows a simple embolisation of a peripheral renal pseudoaneurysm. I used Terumo Azur CX detachable coils https://www.whichmedicaldevice.com/by... My 'goto' catheter for small vessel embolisation is the 2F Progreat used with an Asahi Meister single angle wire giving lots of torque. https://www.whichmedicaldevice.com/by... https://www.whichmedicaldevice.com/by... Please add any comments on these devices, what you like, what you dont like and alternatives using the links above to Which Medical Device! Dr Phil Haslam Consultant Interventional...
This tight ureteric stricture required a micro wire (Meister 0.018") and microcatheter to cross. This was then upsized to a 0.035" system to allow balloon dilatation (presumed ischaemic stricture) and stenting. It is very unusual to need a 0.018" systemt to cross ureteric strictures, but it can be very useful. Dr Phil Haslam, consultant interventional and uroradiologist Dr Georgia Priona, consultant interventional radiologist
This pseudoaneurysm occured in the mid splenic artery in a patient with chronic pancreatitis. The presence of a cystogastric stent to decompress the pseudocyst led to the presentation with major intermittent haematemesis. We chose to use a Viabahn to preserve the splenic artery. An alternative would have been to exclude the pseudoaneurysm by occluding the artery across/either side of ther neck. Dr Phil Haslam Consultant Interventional Radiologist.
This video shows the percutaneous embolisation of a renal AML using Onyx 18. This benign renal mass had been previously biopsied to prove the diagnosis. I usually embolise these using PVA (contour) 250-355u and coils but having started using onyx felt a renal AML could be very efficiently embolised using this or its competitor product PHIL. I initally injected the Onyx relativley quickly to alow it to flow into the most distal part of the vessel in which I had lodged the microcatheter. The onyx then flowed back along the microcatheter. At this point I waited to allow it to solidify...
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