Short-interval recanalization after gelfoam occlusion

Gelfoam® is a temporary embolization agent often used in trauma where permanent arterial occlusion is not desired. Gelfoam occlusions have been shown to resolve by 2 weeks, but shorter intervals have not been studied. We report a case of spontaneous arterial hemorrhage due to ruptured hepatic malign...

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Main Authors: David P. Munger, DO, MPH, John M. Gemery, MD, Andrew R. Forauer, MD
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322005489
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author David P. Munger, DO, MPH
John M. Gemery, MD
Andrew R. Forauer, MD
author_facet David P. Munger, DO, MPH
John M. Gemery, MD
Andrew R. Forauer, MD
author_sort David P. Munger, DO, MPH
collection DOAJ
description Gelfoam® is a temporary embolization agent often used in trauma where permanent arterial occlusion is not desired. Gelfoam occlusions have been shown to resolve by 2 weeks, but shorter intervals have not been studied. We report a case of spontaneous arterial hemorrhage due to ruptured hepatic malignancy where treatment was Gelfoam slurry occlusion of the right hepatic artery. Repeat hemorrhage resulted in repeat CT and hepatic arteriography, which showed that recanalization of the occluded artery had occurred in less than 48 hours. Gelfoam arterial occlusion in some cases may last less than 2 weeks.
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spelling doaj.art-2ada5721d62b4acaa76c7d390f5d7ec92022-12-22T01:26:54ZengElsevierRadiology Case Reports1930-04332022-10-01171038353837Short-interval recanalization after gelfoam occlusionDavid P. Munger, DO, MPH0John M. Gemery, MD1Andrew R. Forauer, MD2Department of Radiology, Section of Interventional Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USACorresponding author.; Department of Radiology, Section of Interventional Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USADepartment of Radiology, Section of Interventional Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USAGelfoam® is a temporary embolization agent often used in trauma where permanent arterial occlusion is not desired. Gelfoam occlusions have been shown to resolve by 2 weeks, but shorter intervals have not been studied. We report a case of spontaneous arterial hemorrhage due to ruptured hepatic malignancy where treatment was Gelfoam slurry occlusion of the right hepatic artery. Repeat hemorrhage resulted in repeat CT and hepatic arteriography, which showed that recanalization of the occluded artery had occurred in less than 48 hours. Gelfoam arterial occlusion in some cases may last less than 2 weeks.http://www.sciencedirect.com/science/article/pii/S1930043322005489GelfoamCanalizationRecanalizationEmbolizationOcclusion
spellingShingle David P. Munger, DO, MPH
John M. Gemery, MD
Andrew R. Forauer, MD
Short-interval recanalization after gelfoam occlusion
Radiology Case Reports
Gelfoam
Canalization
Recanalization
Embolization
Occlusion
title Short-interval recanalization after gelfoam occlusion
title_full Short-interval recanalization after gelfoam occlusion
title_fullStr Short-interval recanalization after gelfoam occlusion
title_full_unstemmed Short-interval recanalization after gelfoam occlusion
title_short Short-interval recanalization after gelfoam occlusion
title_sort short interval recanalization after gelfoam occlusion
topic Gelfoam
Canalization
Recanalization
Embolization
Occlusion
url http://www.sciencedirect.com/science/article/pii/S1930043322005489
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