Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report
Coil migration can occur when coil embolization is used for treating pseudoaneurysms associated with large arteries. The double microcatheter technique is useful for preventing coil migration; the balloon catheter can reduce blood flow and active bleeding upon balloon inflation, and can also compres...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324001675 |
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| author | Hirofumi Sekino, MD, PhD Shiro Ishii, MD, PhD Teruhide Ishigame, MD, PhD Tatsuya Ando, MD Natsumi Kawamoto, MD Yoshiki Endo, MD Daichi Kuroiwa, MD Hiroshi Ito, MD, PhD |
| author_facet | Hirofumi Sekino, MD, PhD Shiro Ishii, MD, PhD Teruhide Ishigame, MD, PhD Tatsuya Ando, MD Natsumi Kawamoto, MD Yoshiki Endo, MD Daichi Kuroiwa, MD Hiroshi Ito, MD, PhD |
| author_sort | Hirofumi Sekino, MD, PhD |
| collection | DOAJ |
| description | Coil migration can occur when coil embolization is used for treating pseudoaneurysms associated with large arteries. The double microcatheter technique is useful for preventing coil migration; the balloon catheter can reduce blood flow and active bleeding upon balloon inflation, and can also compress the bleeding point and arrest bleeding temporarily. We report a case describing the management of a pseudoaneurysm with coil embolization using double microcatheters and a balloon catheter to control blood flow and prevent coil migration. A 73-year-old male patient presented with a pseudoaneurysm of the celiac artery arising from the splenic artery stump following surgery. Coil embolization of the pseudoaneurysm using a double microcatheter embolization technique with a balloon catheter was considered. A balloon catheter was inserted into the celiac artery and active bleeding was temporarily arrested with the inflated balloon. First, a microcatheter was inserted into the balloon catheter, and another microcatheter was placed in the celiac artery. An electrical detachable coil was inserted into the proximal common hepatic artery just distal to the pseudoaneurysm. The second electrically detachable coil was inserted while the first coil remained attached. After detachment of the second coil, additional electrically detachable coils were inserted for similar embolization. The balloon was gradually deflated. Finally, the first coil was detached and we confirmed absence of the bleeding. Our case report demonstrated that a balloon catheter can control the flow vessels, and the double microcatheter embolization technique with a balloon catheter is useful for coil embolization in high-flow or large vessels. |
| first_indexed | 2024-04-24T20:12:46Z |
| format | Article |
| id | doaj.art-15f6f90d0b924c76869bc00ef5224589 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-24T20:12:46Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-15f6f90d0b924c76869bc00ef52245892024-03-23T06:23:50ZengElsevierRadiology Case Reports1930-04332024-06-0119622822285Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case reportHirofumi Sekino, MD, PhD0Shiro Ishii, MD, PhD1Teruhide Ishigame, MD, PhD2Tatsuya Ando, MD3Natsumi Kawamoto, MD4Yoshiki Endo, MD5Daichi Kuroiwa, MD6Hiroshi Ito, MD, PhD7Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, Japan; Corresponding author.Department of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, JapanDepartment of Hepato-Biliary-Pancreatic and Transplant Surgery, Fukushima Medical University, Fukushima, JapanDepartment of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, JapanDepartment of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, JapanDepartment of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, JapanDepartment of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, JapanDepartment of Radiology and Nuclear Medicine, Fukushima Medical University, Fukushima, JapanCoil migration can occur when coil embolization is used for treating pseudoaneurysms associated with large arteries. The double microcatheter technique is useful for preventing coil migration; the balloon catheter can reduce blood flow and active bleeding upon balloon inflation, and can also compress the bleeding point and arrest bleeding temporarily. We report a case describing the management of a pseudoaneurysm with coil embolization using double microcatheters and a balloon catheter to control blood flow and prevent coil migration. A 73-year-old male patient presented with a pseudoaneurysm of the celiac artery arising from the splenic artery stump following surgery. Coil embolization of the pseudoaneurysm using a double microcatheter embolization technique with a balloon catheter was considered. A balloon catheter was inserted into the celiac artery and active bleeding was temporarily arrested with the inflated balloon. First, a microcatheter was inserted into the balloon catheter, and another microcatheter was placed in the celiac artery. An electrical detachable coil was inserted into the proximal common hepatic artery just distal to the pseudoaneurysm. The second electrically detachable coil was inserted while the first coil remained attached. After detachment of the second coil, additional electrically detachable coils were inserted for similar embolization. The balloon was gradually deflated. Finally, the first coil was detached and we confirmed absence of the bleeding. Our case report demonstrated that a balloon catheter can control the flow vessels, and the double microcatheter embolization technique with a balloon catheter is useful for coil embolization in high-flow or large vessels.http://www.sciencedirect.com/science/article/pii/S1930043324001675EmbolizationPseudoaneurysmBalloon catheterDouble microcatheter technique |
| spellingShingle | Hirofumi Sekino, MD, PhD Shiro Ishii, MD, PhD Teruhide Ishigame, MD, PhD Tatsuya Ando, MD Natsumi Kawamoto, MD Yoshiki Endo, MD Daichi Kuroiwa, MD Hiroshi Ito, MD, PhD Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report Radiology Case Reports Embolization Pseudoaneurysm Balloon catheter Double microcatheter technique |
| title | Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report |
| title_full | Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report |
| title_fullStr | Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report |
| title_full_unstemmed | Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report |
| title_short | Coil embolization of a celiac artery pseudoaneurysm under balloon-assisted flow control: A case report |
| title_sort | coil embolization of a celiac artery pseudoaneurysm under balloon assisted flow control a case report |
| topic | Embolization Pseudoaneurysm Balloon catheter Double microcatheter technique |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324001675 |
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