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Therapeutic Embolization with Detachable Balloons

  • Conference paper
Therapeutic Angiography

Abstract

In our first 18 months’ clinical experience with embolization in the chest and abdomen using detachable balloons, successful results were obtained in 34 of 38 patients. One and 2-mm detachable silicone balloons, which can occlude vessels 4-8 mm in diameter, were employed. Prolonged balloon inflation was routinely achieved using iso-osmotic iodipamide meglumine as the filler and limiting inflation volumes to experimentally determined maximums. Improvements in introducer catheter design simplified delivery of the balloon into a variety of circulations.

Detachable balloons are not suitable for all embolization purposes, and they are frequently used in conjunction with other agents. When used properly, balloons produce a permanent occlusion that is extremely selective and potentially reversible up to a certain point in the procedure. The balloon technique enables the angiographer to occlude vessels at distances of 2-10 mm beyond the introducer catheter, thus avoiding the need for subselective catheterization and minimizing the dangers of inadvertent embolization.

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References

  1. Prolo, D.K., Handbery, J.W.: Intraluminal occlusion of a carotid-cavernous fistula with a balloon catheter. J. Neurosurg. 35: 237–242, 1971

    Article  PubMed  CAS  Google Scholar 

  2. Serbinenko, F. A.: Balloon catheterization and occlusion of major cerebral vessels. J. Neurosurg. 41: 125–145, 1974

    Article  PubMed  CAS  Google Scholar 

  3. Debrun, G., Lacour, P., Caron, J.P., Hurth, M., Comoy, J., Keravel, Y., Laborit, G.: Experimental approach to the treatment of carotid cavernous fistulas with an inflatable and isolated balloon. Neuroradiology 9: 9–12, 1975

    Article  Google Scholar 

  4. Kerber, C.: Balloon catheter with a calibrated leak. Radiology 120: 547–550, 1976

    PubMed  CAS  Google Scholar 

  5. DiTullio, M.V. Jr., Rand, R.W., Frisch, E.: Development of a detachable vascular balloon catheter: A preliminary report. Bull. Los Angeles Neurol. Soc. 41: 2–5, 1977

    Google Scholar 

  6. Pevsner, P.H.: Micro-balloon catheter for superselective an giography and therapeutic occlusion. Am. J. Roentgenol. 128: 225–230, 1977

    CAS  Google Scholar 

  7. Guillaume, J., Roulieau, J.: Experimental embolization with inflatable and releasable balloons in dogs. Neuroradiology 14: 85–88, 1977

    Article  PubMed  CAS  Google Scholar 

  8. Debrun, G., Lacour, P., Caron, J.P., Hurth, M., Comoy, J., Keravel, Y.: Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. J. Neurosurg. 49: 635–649, 1978

    Article  PubMed  CAS  Google Scholar 

  9. Wholey, M.H., Stockdale, R., Hung, T.K.: A percutaneous balloon catheter for immediate control of hemorrhage. Radiology 95: 65–71, 1970

    PubMed  CAS  Google Scholar 

  10. Rösch, J., Dotter, CT., Brown, M.J.: Selective arterial embolization: A new method for control of acute gastrointestinal bleeding. Radiology 102: 303–306, 1972

    PubMed  Google Scholar 

  11. Margolies, M.N., Ring, E.J., Waltman, A.C., Kerr, W.S., Jr.. Baum, S.: Arteriography in the management of hemorrhage from pelvic fractures. N. Engl. J. Med. 287: 317–321, 1972

    Article  PubMed  CAS  Google Scholar 

  12. Almgard, L.E.. Fernström, I., Haverling, M., Ljungquist, A.: Treatment of renal adenocarcinoma by embolic occlusion of the renal circulation. Br. J. Urol. 45: 474–479, 1973

    Article  PubMed  CAS  Google Scholar 

  13. Woodside, J., Schwarz, H., Bergreen, P.: Peripheral embolization complicating bilateral renal infarction with Gelfoam. Am. J. Roentgenol. 126: 1033–1034, 1976

    CAS  Google Scholar 

  14. Gang, D.L., Dole, N.K., Adelman, L.S.: Spinal cord infarction following therapeutic renal artery embolization. JAMA 237: 2841–2842, 1977

    Article  PubMed  CAS  Google Scholar 

  15. Tegtmeyer, C.J., Smith, T.H., Shaw, A., Barwick, K.W., Katt-winkel, J.: Renal infarction: A complication of Gelfoam embolization of a hemangioendothelioma of the liver. Am. J. Roentgenol. 128: 305–307, 1977

    CAS  Google Scholar 

  16. Braf, Z.F., Koontz, W.W., Jr.: Gangrene of bladder: Complication of hypogastric artery embolization. Urology 9: 670–671, 1977

    Article  PubMed  CAS  Google Scholar 

  17. Hietala, S.: Urinary bladder necrosis following selective embolization of the internal iliac artery. Acta Radiol. [Diagn.] (Stockh.) 19: 316–320, 1978

    CAS  Google Scholar 

  18. Chuang, V.P.: Nonoperative retrieval of Gianturco coils from abdominal aorta. Am. J. Roentgenol. 123: 996–997, 1979

    Google Scholar 

  19. Osterman, F.A., Jr., Bell, W.R., Montali, R.J., Novak, G.R., White, R.I., Jr.: Natural history of autologous blood clot embolization in swine. Invest. Radiol. 11: 267–276, 1976

    Article  PubMed  CAS  Google Scholar 

  20. Barth, K.H., Strandberg, J.D., White, R.I., Jr.: Long term follow-up of transcatheter embolization with autologous clot, Oxycel and Gelfoam in domestic swine. Invest. Radiol. 12: 273–279, 1977

    Article  PubMed  CAS  Google Scholar 

  21. White, R.I., Jr., Strandberg, J.V., Gross, G.S., Barth, K.H.: Therapeutic embolization with long-term occluding agents and their effects on embolized tissues. Radiology 125: 677–687, 1977

    PubMed  Google Scholar 

  22. Barth, K.H., Strandberg, J.D., Kaufman, S.L., White, R.I., Jr.: Chronic vascular reactions to steel coil occlusion devices. Am. J. Roentgenol. 131: 455–458, 1978

    CAS  Google Scholar 

  23. Kaufman, S.L., Strandberg, J.D., Barth, K.H., White, R.I., Jr.: Transcatheter embolization with microfibrillar collagen in swine. Invest. Radiol. 13: 200–204, 1978

    Article  PubMed  CAS  Google Scholar 

  24. White, R.I., Jr., Ursic, T.A., Kaufman, S.L., Barth, K.H., Kim, W., Gross, G.S.: Therapeutic embolization with detachable balloons: Physical factors influencing permanent occlusion. Radiology 126: 521–523, 1978

    PubMed  Google Scholar 

  25. Kaufman, S.L., Strandberg, J.D., Barth, K.H., Gross, G.S., White, R.I., Jr.: Therapeutic embolization with detachable silastic balloon: Long term effects in swine. Invest. Radiol. 14: 156–161, 1979

    Article  PubMed  CAS  Google Scholar 

  26. Barth, K.H., White, R.I., Jr., Kaufman, S.L., Strandberg, J.D.: Metrizamide, the ideal radiopaque filler for detachable silastic balloon embolization. Invest. Radiol. 14: 35–40, 1979

    Article  PubMed  CAS  Google Scholar 

  27. White, R.I., Jr., Kaufman, S.L., Barth, K.H., DeCaprio, V., Strandberg, J.D.: Therapeutic embolization with detachable silicone balloons: Early clinical experience. JAMA 241: 1257–1260, 1979

    Article  PubMed  Google Scholar 

  28. White, R.I., Jr., Kaufman, S.L., Barth, K.H., DeCaprio, V., Strandberg, J.D.: Embolotherapy with detachable silicone balloons: Technique and clinical results. Radiology 131: 619–627, 1979

    PubMed  Google Scholar 

  29. Remy, J., Arnaud, A., Fardou, H., Giraud, R., Voisin, C.: Treatment of hemoptysis by embolization of bronchial arteries. Radiology 122: 33–37, 1977

    PubMed  CAS  Google Scholar 

  30. Shermeta, D.W., Golladay, E.S., White, R.I., Jr.: Preoperative occlusion of the hepatic artery with isobutyl 2-cyanoacrylate for resection of the “unresectable” hepatic tumor. Surgery 83: 319–322, 1978

    PubMed  CAS  Google Scholar 

  31. Luessenhop, A.J., Spence, W.T.: Artificial embolization of cerebral arteries: Report of use in a case of arteriovenous malformation. JAMA 172: 1153–1155, 1960

    Article  CAS  Google Scholar 

  32. Sano, K., Jimbo, M., Saito, I., Terao, H., Hirakawa, K.: Artificial embolization with liquid plastic. Neurol. Medicochir. 8: 198, 1966

    Google Scholar 

  33. Doppman, J.L., Zapol, W., Pierce, J.: Transcathctcr embolization with a silicone rubber preparation: Experimental observations. Invest. Radiol. 6: 304–309, 1971

    Article  PubMed  CAS  Google Scholar 

  34. White, R.I., Jr., Barth, K.H., Kaufman, S.L., Terry, P.B.: De tachable silicone balloons: Results of experimental study and clinical investigations in hereditary hemorrhagic telangiectasia. Ann. Radiol. (Paris) 23: 338–340, 1980

    Google Scholar 

  35. Terry, P.B., Barth, K.H., Kaufman, S.L., White, R.I., Jr.: Balloon embolization for treatment of pulmonary arteriovenous fistulas. N. Engl. J. Med. 302: 1189–1190, 1980

    Article  PubMed  CAS  Google Scholar 

  36. Walsh, P.C.: A new cause of male infertility (editorial). N. Engl. J. Med. 300: 253–254, 1979

    Article  PubMed  CAS  Google Scholar 

  37. Zeitler, E.: Selective sclerotherapy of the internal spermatic vein in patients with varicoceles. Cardiovasc. Intervent. Radiol. 3: 166–169, 1980

    Article  PubMed  CAS  Google Scholar 

  38. Walsh, P.C., Barth, K.H., Kaufman, S.L., White, R.I., Jr.: Technic and long term results of percutaenous occlusion of varicocele with detachable silicone balloons. Presented at the American Urological Association Meeting, San Francisco, Calif., May 22, 1980

    Google Scholar 

  39. White, R.I., Jr., Magee, P.G., Roland, J.-M., Strandberg, J.D., Donahoo, S.: Closure of systemic-pulmonary shunts by detachable silastic balloon embolization (abstract). Circulation 58 (Suppl. 2): 11–71, 1978

    Google Scholar 

  40. McGoon, M.D., Fulton, R.E., Davis, G.D., Ritter, D.G., Neill, C.A., White, R.I., Jr.: Systemic collateral and pulmonary artery stenosis in patients with congenital pulmonary valve atresia and ventricular septal defect. Circulation 56: 473–479, 1977

    PubMed  CAS  Google Scholar 

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© 1981 Springer-Verlag Berlin · Heidelberg

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White, R.I., Barth, K.H., Kaufman, S.L., DeCaprio, V., Strandberg, J.D. (1981). Therapeutic Embolization with Detachable Balloons. In: Athanasoulis, C.A., Abrams, H.L., Zeitler, E. (eds) Therapeutic Angiography. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95382-8_6

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  • DOI: https://doi.org/10.1007/978-3-642-95382-8_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10526-8

  • Online ISBN: 978-3-642-95382-8

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