A new flow control technique using diluted epinephrine in the N-butyl-2-cyanoacrylate embolization of visceral artery pseudoaneurysms secondary to chronic pancreatitis

Cardiovasc Intervent Radiol. 2012 Aug;35(4):932-7. doi: 10.1007/s00270-011-0294-8. Epub 2011 Oct 25.

Abstract

Although n-butyl-2-cyanoacrylate (NBCA) has been used as an effective liquid embolization material, its indication for pseudoaneurysms has seemingly been limited because of the technical difficulties of using NBCA, such as reflux to the parent artery and causing significant infarction. Thus, considerable skill in using NBCA or a device to control blood flow during its polymerization is required to achieve embolization without severe complications. We report our new technique for controlling blood flow using diluted epinephrine in transcatheter arterial NBCA embolization of five pseudoaneurysms in four cases secondary to hemosuccus pancreaticus.

MeSH terms

  • Aneurysm, False / therapy*
  • Duodenum / blood supply*
  • Embolization, Therapeutic / methods*
  • Enbucrilate / administration & dosage*
  • Epinephrine / administration & dosage*
  • Ethiodized Oil / administration & dosage*
  • Fluoroscopy
  • Humans
  • Male
  • Middle Aged
  • Pancreas / blood supply*
  • Pancreatitis / therapy*
  • Splenic Artery*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vasoconstrictor Agents / administration & dosage*

Substances

  • Vasoconstrictor Agents
  • Ethiodized Oil
  • Enbucrilate
  • Epinephrine