tornado embolization coil  (Cook Medical Inc)

Journal: Acta Radiologica Open

Article Title: Transcatheter arterial embolization for gastroepiploic artery aneurysms: A single-center retrospective 12 case series

doi: 10.1177/20584601261450618

Figure Lengend Snippet: Two cases of unsuccessful transcatheter arterial embolization (Case 3 & 8, , , ). A 76-year-old woman (Case 3) was transferred with sudden chest pain and hemorrhagic shock. (a) Celiac arteriography showed multiple bead-like dilated aneurysms not only in the left gastroepiploic artery (white arrow) but also in right gastroepiploic artery (black arrow). (b) Splenic arteriography demonstrated multiple bead-like dilated aneurysms in the left gastroepiploic artery (white arrow) and a saccularly expanded aneurysm (black arrowhead) in the periphery. We determined that it would be difficult to reach the target site with the catheter and abandoned endovascular treatment. A 65-year-old man (Case 8) undergoing dialysis for chronic renal failure was brought to the hospital with sudden upper abdominal pain and hemorrhagic shock. (c) Celiac arteriography showed an aneurysm at the periphery of the right gastroepiploic artery (black arrowhead). (d) When right gastroepiploic arteriography was performed (tip of the microcatheter: white arrow), the aneurysm (black arrowhead) was visualized, but the pressure of the contrast medium alone caused rupture of an artery not touched by the device, resulting in extravascular leakage (into the omentum) of the contrast medium (white arrowhead). Because we were unable to reach the target aneurysm with the catheter, we injected NBCA-Lipiodol from a distance, but this resulted in only proximal embolization.

Article Snippet: Interlock ® 0.016-inch detachable microcoils (Boston Scientific, Marlborough, MA, USA) and Tornado ® Embolization Coil (Cook Medical, Bloomington, IN, USA) were used for coil embolization.

Techniques: Injection

Journal: Acta Radiologica Open

Article Title: Transcatheter arterial embolization for gastroepiploic artery aneurysms: A single-center retrospective 12 case series

doi: 10.1177/20584601261450618

Figure Lengend Snippet: Case of ruptured dissected left gastroepiploic artery aneurysm (Case 7, , , ) A 67-year-old man was transferred to our hospital with abdominal pain. (a) Contrast-enhanced computed tomography revealed a hematoma on the left side of the stomach, with dilated vascular structures inside (white arrowhead). (b) Celiac arteriography revealed irregular, lead-pipe-like dilation of the left gastroepiploic artery (black arrowhead). (c) Left gastroepiploic arteriography using a triple coaxial catheter system (black arrow indicates the tip of the second catheter, and white arrow indicates the tip of the third catheter) revealed multiple dissecting aneurysms (black arrowheads), and transcatheter arterial embolization was then performed using NBCA-Lipiodol mixture. (d) After treatment, celiac arteriography showed that the left gastroepiploic artery was embolized like the casting mold (black arrowhead).

Article Snippet: Interlock ® 0.016-inch detachable microcoils (Boston Scientific, Marlborough, MA, USA) and Tornado ® Embolization Coil (Cook Medical, Bloomington, IN, USA) were used for coil embolization.

Techniques: Computed Tomography

Journal: Acta Radiologica Open

Article Title: Transcatheter arterial embolization for gastroepiploic artery aneurysms: A single-center retrospective 12 case series

doi: 10.1177/20584601261450618

Figure Lengend Snippet: Case of gastroepiploic artery pseudoaneurysm (Case 12, and ). A 58-year-old man underwent a contrast-enhanced computed tomography for follow-up of antineutrophil cytoplasmic antibody-associated vasculitis. (a) Axial section, (b) coronal section. A pseudoaneurysm was noted on the ventral side of the greater curvature of the stomach (white arrow). (c) Right gastroepiploic arteriography revealed a pseudoaneurysm that was visualized slightly later than the early arterial phase. (d) The triple coaxial catheter system (black arrow indicates the tip of the second catheter, and white arrow indicates the tip of the third catheter) was used to reach the gastroepiploic artery aneurysm. (e) Transcatheter arterial embolization was performed using NBCA-Lipiodol mixture. (f) After treatment, right gastroepiploic arteriography showed that the aneurysm was embolized like the casting mold (black arrowhead).

Article Snippet: Interlock ® 0.016-inch detachable microcoils (Boston Scientific, Marlborough, MA, USA) and Tornado ® Embolization Coil (Cook Medical, Bloomington, IN, USA) were used for coil embolization.

Techniques: Computed Tomography

Journal: Acta Radiologica Open

Article Title: Transcatheter arterial embolization for gastroepiploic artery aneurysms: A single-center retrospective 12 case series

doi: 10.1177/20584601261450618

Figure Lengend Snippet: Case of true aneurysm of the right gastroepiploic artery (Case 10, and ). A 79-year-old woman was referred to our hospital because a screening computed tomography at another hospital revealed an aneurysm near the pancreas head. (a) Axial section, (b) 3-dimensional reconstruction imaging of computed tomography (RAO 30°). A spherical aneurysm (white arrow) was noted on the ventral side of the pancreas head. (c) Celiac arteriography demonstrated a spherical aneurysm in the proximal right gastroepiploic artery from the early arterial phase (black arrowhead). (d) First, selective embolization using microcoils was performed on the right gastroepiploic artery and the anterior superior pancreaticoduodenal artery, which serve as the outflow tracts of the aneurysm. (e) The aneurysm was embolized with NBCA-Lipiodol mixture. (f) After treatment, celiac arteriography showed that the aneurysm was embolized like the casting mold (black arrowhead).

Article Snippet: Interlock ® 0.016-inch detachable microcoils (Boston Scientific, Marlborough, MA, USA) and Tornado ® Embolization Coil (Cook Medical, Bloomington, IN, USA) were used for coil embolization.

Techniques: Computed Tomography, Imaging

Journal: Journal of Surgical Case Reports

Article Title: Refractory pancreatic fistula following distal pancreatectomy successfully treated with N-butyl-2-cyanoacrylate and vascular embolization coils using a pull-through technique

doi: 10.1093/jscr/rjag358

Figure Lengend Snippet: (a) The micro catheter was guided into the pancreatic duct through the percutaneous drain site over a guidewire. (b) Vascular embolization coils were placed in the pancreatic duct stump, followed by the injection of NBCA mixed with lipiodol into the coil deployment site.

Article Snippet: Vascular embolization coils (Target 3D Detachable Coils, Stryker) were deployed into the pancreatic duct stump, followed by NBCA injection ( and ).

Techniques: Injection

Journal: Cureus

Article Title: Endobronchial Fluoroscopy-Guided Management of Persistent Air Leak After Video-Assisted Thoracoscopic Surgery (VATS)-Assisted Deroofing of Pleural Hydatid Cysts

doi: 10.7759/cureus.106805

Figure Lengend Snippet: (A) Digital subtraction bronchogram of the left upper lobe showing contrast leak from subsegmental bronchi supplying the posterior segment (yellow arrow). (B, C) Post-embolization bronchograms demonstrating normal opacification of the tracheobronchial tree with no contrast leak. Radio-opaque vascular embolization coils are seen within the treated bronchi (blue arrows).

Article Snippet: The involved subsegmental bronchi were selectively embolized with vascular embolization coils (0.018", 3 mm x 5 cm vascular embolization coil by MicroNester®, Cook Medical, Bloomington, IN).

Techniques:

Journal: Cureus

Article Title: Endobronchial Fluoroscopy-Guided Management of Persistent Air Leak After Video-Assisted Thoracoscopic Surgery (VATS)-Assisted Deroofing of Pleural Hydatid Cysts

doi: 10.7759/cureus.106805

Figure Lengend Snippet: (A) Chest radiograph obtained two days after coil embolization and glue placement, showing near-complete expansion of the left lung with a small residual left pneumothorax (blue arrow). One chest tube has been removed, with the remaining tube in situ (yellow arrow). (B) Follow-up chest radiograph obtained 14 days after discharge demonstrating stable findings with near-complete left lung expansion and a small residual pneumothorax (blue arrow). Radio-opaque vascular embolization coils are visible in both panels (orange arrows).

Article Snippet: The involved subsegmental bronchi were selectively embolized with vascular embolization coils (0.018", 3 mm x 5 cm vascular embolization coil by MicroNester®, Cook Medical, Bloomington, IN).

Techniques: In Situ