Abstract | AIM: MATERIALS AND METHODS: From March 2007 to March 2015, 104 patients presented T2 EL during follow-up. A total of 21 patients met the criteria for treatment. T2 EL was treated with TAE (n = 18), DPSI (n = 10) or laparoscopic ligature of the inferior mesenteric artery (n = 1). DPSI was considered in case TAE was unsuccessful (8/18 patients). Ethylene-vinyl alcohol copolymer was used as embolic agent in 12 patients: alone in 5 cases, in association with glue and with glue and thrombin in 3 and 2 cases, respectively, during TAE. Onyx was injected in two cases of embolization performed with DPSI: in one case alone and in the other in combination with thrombin and glue. RESULTS: Technical success rate was 100%. Immediate clinical success was 91.7%; in one patient CEUS revealed persistent T2 EL, decreased if compared with that before the procedure. Secondary clinical success was 91.7%; until today, in one patient T2EL is persistent, nevertheless, the sac diameter remained stable. No major or minor complications were registered. CONCLUSIONS: Onyx could be an ideal embolic agent for endovascular and percutaneous embolization of T2 EL.
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Authors | Anna Maria Ierardi, Camilla Micieli, Salvatore Alessio Angileri, Nicola Rivolta, Gabriele Piffaretti, Massimo Tonolini, Federico Fontana, Vittorio Miele, Luca Brunese, Gianpaolo Carrafiello |
Journal | La Radiologia medica
(Radiol Med)
Vol. 122
Issue 2
Pg. 154-159
(Feb 2017)
ISSN: 1826-6983 [Electronic] Italy |
PMID | 27817050
(Publication Type: Journal Article)
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Chemical References |
- Polyvinyls
- ethylene-vinyl alcohol copolymer
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Topics |
- Aged
- Aged, 80 and over
- Embolization, Therapeutic
(methods)
- Endoleak
(diagnostic imaging, therapy)
- Endovascular Procedures
(methods)
- Female
- Follow-Up Studies
- Humans
- Male
- Mesenteric Artery, Inferior
- Middle Aged
- Polyvinyls
(administration & dosage)
- Retrospective Studies
- Treatment Outcome
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