Arterial embolization via retrograde approach using steerable microcatheter and triaxial system.

IF 1.7 4区 医学 Q2 SURGERY
Takahiro Kawabata, Toshihiro Iguchi, Yusuke Matsui, Koji Tomita, Mayu Uka, Noriyuki Umakoshi, Shoma Nagata, Takao Hiraki
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引用次数: 0

Abstract

We report a case of postoperative pseudoaneurysm, successfully treated with selective arterial embolization, using a steerable microcatheter and triaxial system via retrograde approach. A pseudoaneurysm was detected in the dorsal pancreatic artery, a severely narrow and steeply inverted branch of the superior mesenteric artery, making microcatheter insertion via the antegrade approach challenging. However, a steerable microcatheter was advanced beyond the orifice and the tip was reversed, changing the route to retrograde allowing for easy insertion of the microguidewire. Subsequently, a small microcatheter was advanced beyond the pseudoaneurysm into the dorsal pancreatic artery, and arterial embolization was successfully completed without complications.

使用可转向微导管和三轴系统逆行动脉栓塞。
我们报告了一例术后假性动脉瘤病例,使用可转向微导管和三轴系统,通过逆行入路进行选择性动脉栓塞,成功治疗了假性动脉瘤。假性动脉瘤发生在胰背动脉,这是肠系膜上动脉的一个严重狭窄且陡峭倒置的分支,因此通过逆行入路插入微导管具有挑战性。不过,将可转向微导管推进到管口之外并反转尖端,将路径改为逆行,这样就能轻松插入微导管。随后,将一根小型微导管推进到假性动脉瘤以外的胰背动脉,成功完成了动脉栓塞,没有出现并发症。
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来源期刊
CiteScore
3.80
自引率
5.90%
发文量
39
审稿时长
6-12 weeks
期刊介绍: Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.
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