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Embolisation: Materialien und Technik

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Angiofibel

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Zusammenfassung

Ziel einer Embolisation ist der Verschluss eines Blutgefäßes durch Blutflusssenkung und Thromboseinduktion. Dafür stehen verschiedene Materialien zur Verfügung: Metallspiralen, Gewebekleber (flüssiges Embolisationsmaterial) oder Partikel (partikuläres Embolisationsmaterial) oder auch durch eine Kombination verschiedener Materialien. Die Wahl des Embolisationsmaterials richtet sich nach: Blutungslokalisation, Blutungsausmaß, Gerinnungsfunktion und Gefäßart und Gefäßterritorium sowie Kollateralperfusion. Es werden Indikationen und Kontraindikationen, verschiedene Materialien und deren Einsatzbereiche vorgestellt. Daneben gibt das Kapitel Auskunft über typische Komplikationen (Katheterverklebung, Coil-Fehlplatzierung) und deren Management. Zur Durchführung von Embolisation, Lyse oder Thrombektomie kann fast jeder angiografische Standardkatheter verwendet werden; peripher gelegene, kleine Zielgefäße erfordern jedoch den Einsatz von Mikrokathetern. Für diese sind jedoch Erfahrungen mit verschiedenen Führungskathetern und -drähten genauso wichtig wie eine adäquate Kathetertechnik. Im Unterkapitel „Mikrokatheter: Tipps und Tricks“ finden sich eine umfangreiche tabellarische Zusammenfassung der Embolisationsmaterialien diverser Hersteller.

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Literatur

  1. Abe T, Hirohata M et al (2004) Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement. AJNR Am J Neuroradiol 25:1058–1061

    PubMed  Google Scholar 

  2. Adrianto Y, Yang KH et al (2016) Easy advancement of a large-profile microcatheter (Excelsior XT27) by parallel use of two microguidewires for stent delivery. Neurointervention 11:24–29

    Article  Google Scholar 

  3. Altschul D, Biswas A et al (2016) Novel double catheter technique with detachable microcatheter for the treatment of arteriovenous malformations: a technical note. Surg Neurol Int 7:S1072–S1074

    Article  Google Scholar 

  4. Baek JH, Chung JW et al (2007) A new technique for superselective catheterization of arteries: preshaping of a micro-guide wire into a shepherd’s hook form. Korean J Radiol 8:225–230

    Article  Google Scholar 

  5. Beckett JS, Duckwiler GR et al (2017) Coil embolization through the Marathon microcatheter: advantages and pitfalls. Interv Neuroradiol 23:28–33

    Article  Google Scholar 

  6. Chapot R, Stracke P et al (2014) The pressure cooker technique for the treatment of brain AVMs. J Neuroradiol 41:87–91

    Article  Google Scholar 

  7. Chiu AH, Aw G et al (2014) Double-lumen arterial balloon catheter technique for Onyx embolization of dural arteriovenous fistulas: initial experience. J Neurointerv Surg 6:400–403

    Article  Google Scholar 

  8. Golfieri R, Renzulli M et al (2013) Hepatocellular carcinoma responding to superselective transarterial chemoembolization: an issue of nodule dimension? J Vasc Interv Radiol 24:509–517

    Article  Google Scholar 

  9. Guglielmi G (2006) Accurate positioning of detachable coils using alternate electric current. A technical note. Interv Neuroradiol 12:103–107

    Article  CAS  Google Scholar 

  10. Herial NA, Khan AA et al (2015) Detachable-tip microcatheters for liquid embolization of brain arteriovenous malformations and fistulas: United States single-center experience. Neurosurgery 11(Suppl 3):404–411; discussion 411

    PubMed  Google Scholar 

  11. Imai N, Ishigami M et al (2014) Transarterial chemoembolization for hepatocellular carcinoma: a review of techniques. World J Hepatol 6:844–850

    Article  Google Scholar 

  12. Irie T, Kuramochi M et al (2013) Dense accumulation of lipiodol emulsion in hepatocellular carcinoma nodule during selective balloon-occluded transarterial chemoembolization: measurement of balloon-occluded arterial stump pressure. Cardiovasc Intervent Radiol 36:706–713

    Article  Google Scholar 

  13. Ishibashi T, Takao H et al (2016) Tailor-made shaping of microcatheters using three-dimensional printed vessel models for endovascular coil embolization. Comput Biol Med 77:59–63

    Article  Google Scholar 

  14. Kawasaki T, Koga H et al (2008) New bifurcation guidewire technique: a reversed guidewire technique for extremely angulated bifurcation – a case report. Catheter Cardiovasc Interv 71:73–76

    Google Scholar 

  15. Kim DY, Park JC et al (2015) Microembolism after endovascular treatment of unruptured cerebral aneurysms: reduction of its incidence by microcatheter lumen aspiration. Neurointervention 10:67–73

    Article  Google Scholar 

  16. Kiyosue H, Hori Y et al (2005) Shapability, memory, and luminal changes in microcatheters after steam shaping: a comparison of 11 different microcatheters. AJNR Am J Neuroradiol 26:2610–2616

    PubMed  Google Scholar 

  17. Koganemaru M, Abe T et al (2012) A newly developed double lumen microballoon catheter with a side hole: initial experience of intraarterial infusion chemotherapy and/or embolization. Jpn J Radiol 30:870–874

    Article  Google Scholar 

  18. Lee DH, Hwang SM et al (2012) In vitro observation of air bubbles during delivery of various detachable aneurysm embolization coils. Korean J Radiol 13:412–416

    Article  Google Scholar 

  19. Lin CC, Wu DK, Shih PM et al (2004) Supraumbilical skin rash and fat necrosis after transcatheter arterial chemoembolization: a case report. Kaohsiung J Med Sci 20:36–40

    Article  Google Scholar 

  20. Mascitelli JR, Polykarpou MF et al (2013) Initial experience with Penumbra Coil 400 versus standard coils in embolization of cerebral aneurysms: a retrospective review. J Neurointerv Surg 5:573–576

    Article  Google Scholar 

  21. Miyayama S, Matsui O et al (2007) Ultraselective transcatheter arterial chemoembolization with a 2-f tip microcatheter for small hepatocellular carcinomas: relationship between local tumor recurrence and visualization of the portal vein with iodized oil. J Vasc Interv Radiol 18:365–376

    Article  Google Scholar 

  22. Miyayama S, Yamashiro M et al (2011) Microcoil embolization during abdominal vascular interventions through microcatheters with a tip of 2 French or less. Jpn J Radiol 29:286–290

    Article  Google Scholar 

  23. Miyayama S, Yamashiro M et al (2016) Use of a catheter with a large side hole or cleft in selective catheterization of small branch arteries. Intervent Radiol 1:67–74

    Article  Google Scholar 

  24. Morshedi MM, Bauman M et al (2015) Yttrium-90 resin microsphere radioembolization using an antireflux catheter: an alternative to traditional coil embolization for nontarget protection. Cardiovasc Intervent Radiol 38:381–388

    Article  Google Scholar 

  25. Ozturk MH, Unal H et al (2008) Embolization of an AVM with acrylic glue through a new microcatheter with detachable tip: an amazing experience. Neuroradiology 50:903–904

    Article  Google Scholar 

  26. Patel P, Kelly QS (2014) A practical approach to embolotherapy access and techniques. Endovasc Today 38–44 https://evtoday.com/articles/2014-apr/a-practical-approach-to-embolotherapy-access-and-techniques?c4src=archive:feed. Zugegriffen am 01.10.2020

  27. Rose SC, Kikolski SG et al (2013) Downstream hepatic arterial blood pressure changes caused by deployment of the surefire antireflux expandable tip. Cardiovasc Intervent Radiol 36:1262–1269

    Article  Google Scholar 

  28. Soyama T, Yoshida D et al (2017) The steerable microcatheter: a new device for selective catheterisation. Cardiovasc Intervent Radiol 40(6):947–952

    Article  Google Scholar 

  29. Sparrow EM, Nelson-Cheeseman BB et al (2017) Use of multi-lumen catheters to preserve injected stem cell viability and injectant dispersion. Cardiovasc Revasc Med 18(5S1):S49–S57

    Article  Google Scholar 

  30. Stidd DA, Lopes DK et al (2014) Aneurysm coil embolization using a 1,5-F distal outer diameter microcatheter. Neurointervention 9:39–44

    Article  Google Scholar 

  31. Suzuki G, Nozaki Y et al (2013) A novel guidewire approach for handling acute-angle bifurcations: reversed guidewire technique with adjunctive use of a double-lumen microcatheter. J Invasive Cardiol 25:48–54

    PubMed  Google Scholar 

  32. Tajima T, Yoshimitsu K et al (2009) Microcoil embolization through a downsized coaxial catheter system: an experimental study. Acta Radiol 50:469–473

    Article  CAS  Google Scholar 

  33. Uchikawa Y, Mori K et al (2015) Double coaxial microcatheter technique for glue embolization of renal arteriovenous malformations. Cardiovasc Intervent Radiol 38:1277–1283

    Article  Google Scholar 

  34. Zoarski GH, Mathis JM et al (1998) Performance characteristics of microcatheter systems in a standardized tortuous pathway. AJNR Am J Neuroradiol 19:1571–1576

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Zentralröntgeninstitut für Diagnostik, Interventionelle Radiologie und Nuklearmedizin+D34, Landesklinikum Wiener Neustadt, Wien, Österreich

    Joachim Kettenbach

  2. Abteilung Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    Miriam Klauß

  3. Institut für Medizinische Radiologie, Diagnostik, Intervention, Universitätsklinikum St. Pölten-Lilienfeld, St. Pölten, Österreich

    Matthias Schilling

Authors
  1. Joachim Kettenbach
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  2. Miriam Klauß
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  3. Matthias Schilling
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Corresponding author

Correspondence to Joachim Kettenbach .

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Editors and Affiliations

  1. Diagnostische und Intervent. Radiologie, Sana Klinikum Hof GmbH Diagnostische und Intervent. Radiologie, Hof/Saale, Germany

    Boris Radeleff

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Kettenbach, J., Klauß, M., Schilling, M. (2021). Embolisation: Materialien und Technik. In: Radeleff, B. (eds) Angiofibel. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56243-7_4

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  • DOI: https://doi.org/10.1007/978-3-662-56243-7_4

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