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CardioVascular and Interventional Radiology

, Volume 37, Issue 6, pp 1597–1601 | Cite as

Microvascular Plug: A New Embolic Material for Hepatic Arterial Skeletonization

  • Olivier PellerinEmail author
  • Geert Maleux
  • Carole Déan
  • Simon Pernot
  • Jafar Golzarian
  • Marc Sapoval
Technical Note

Abstract

Arterial skeletonization before radioembolization or hepatic artery port catheter placement for chemotherapy is a crucial step to prevent side effects. Coils are commonly used as an embolic material for hepatoenteric arterial occlusion. Herein is reported for the first time the clinical use of a new detachable microvascular plug (MVP) suitable for occlusion of 1–3 mm diameter vessels. The MVP allows vessel embolization even in challenging anatomy such as the right gastric artery. Furthermore, immediate and stable vessel occlusion was observed in our pilot study of 16 MVP placements.

Keywords

Arterial intervention Chemoembolization Embolization Interventional oncology Radioembolization Transarterial chemoembolization 

Notes

Conflict of interest

Olivier Pellerin, Geert Maleux, Carole Déan, Simon Pernot, Jafar Golzarian and Marc Sapoval have no conflict of interest.

Financial Disclosure

Olivier Pellerin, Geert Maleux, and Marc Sapoval received consulting fees from Reverse Medical.

Supplementary material

A 45-year-old woman with liver-dominant colorectal cancer metastases was referred to intra-arterial hepatic port catheter placement for further chemotherapy. Through a 4F sheath, the right gastric artery was catheterized with a 2.7F microcatheter coaxially mounted to a 4F shepherd catheter in the celiac trunk. The MVP was then deployed into the target artery. As a result of inadequate position, the MVP was resheathed and redeployed in a better position. The MVP was then detached by electrolytic release. Follow-up angiography performed through the port catheter revealed permanent occlusion of the target artery. Supplementary material 1 (MP4 1623 kb)

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014

Authors and Affiliations

  • Olivier Pellerin
    • 1
    • 2
    • 3
    Email author
  • Geert Maleux
    • 4
    • 5
  • Carole Déan
    • 1
    • 2
    • 3
  • Simon Pernot
    • 1
    • 6
  • Jafar Golzarian
    • 7
  • Marc Sapoval
    • 1
    • 2
    • 3
  1. 1.Faculté de MédecineUniversité Paris Descartes Paris Cité SorbonneParisFrance
  2. 2.INSERM U970ParisFrance
  3. 3.Interventional Radiology DepartmentAssistance Public–Hôpitaux de Paris, Georges Pompidou European HospitalParisFrance
  4. 4.Department of Imaging and PathologyKU LeuvenLeuvenBelgium
  5. 5.Department of RadiologyUniversity Hospitals LeuvenLeuvenBelgium
  6. 6.Department of Digestive OncologyAssistance Publique–Hôpitaux de Paris, Georges Pompidou European HospitalParisFrance
  7. 7.Department of Radiology, Division of Interventional Radiology and Vascular ImagingUniversity of MinnesotaMinneapolisUSA

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