Skip to main content
SpringerLink
Log in

Advanced Embolization Techniques

  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

The techniques of transcatheter embolization of unwanted blood vessels in patients with congenital heart disease have evolved considerably during the past 25 years. There are many different anatomical lesions requiring different approaches and devices. The main types of devices used can be classified into particles, coils, and plugs. It is important for the operator to be familiar with a range of these devices. The results of transcatheter embolization are usually excellent, and technical problems and complications can usually be overcome by attention to detail and persistence. The types of devices in common use and their clinical applications are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15

Similar content being viewed by others

References

  1. PS Batra LD Holinger (2001) ArticleTitleEtiology and management of pediatric hemoptysis Arch Otolaryngol Head Neck Surg 127 377–382 Occurrence Handle11296044

    PubMed  Google Scholar 

  2. SM Bradley (2002) ArticleTitleManagement of aortopulmonary collateral arteries in Fontan patients: routine occlusion is not warranted Semm Thorac Cardiovasc Surg Pediatr Card Surg Annu 5 55–67 Occurrence Handle10.1053/pcsu.2002.31483

    Article  Google Scholar 

  3. S Clapp WR Morrow (1998) ArticleTitleDevelopment of superior vena cava to pulmonary vein fistulae following modified Fontan operation: case report of a rare anomaly and embolization therapy Pediatr Cardiol 19 363–365 Occurrence Handle10.1007/s002469900325 Occurrence Handle9636265

    Article  PubMed  Google Scholar 

  4. BP Fuhrman JL Bass W Castaneda-Zuniga et al. (1984) ArticleTitleCoil embolization of congenital thoracic vascular anomalies in infants and children Circulation 70 285–289 Occurrence Handle6733882

    PubMed  Google Scholar 

  5. YA Gao PE Burrows LN Benson et al. (1993) ArticleTitleScimitar syndrome in infancy J Am Coll Cardiol 22 873–882 Occurrence Handle8354827

    PubMed  Google Scholar 

  6. RG Grifka CE Mullins C Gianturco et al. (1995) ArticleTitleNew Gianturco–Grifka vascular occlusion device. Initial studies in a canine model Circulation 91 1840–1846 Occurrence Handle7882495

    PubMed  Google Scholar 

  7. M Heinemann J Breuer V Steger et al. (2001) ArticleTitleIncidence and impact of systemic venous collateral development after Glenn and Fontan procedures Thorac Cardiovasc Surg 49 172–178 Occurrence Handle10.1055/s-2001-14339 Occurrence Handle11432477

    Article  PubMed  Google Scholar 

  8. ZM Hijazi RL Geggel (1994) ArticleTitleResults of anterograde transcatheter closure of patent ductus arteriosus using single or multiple Giantureo coils Am J Cardiol 74 925–929

    Google Scholar 

  9. R Holzer BR Waller SuffixIII M Kahana et al. (2003) ArticleTitlePercutaneous closure of a giant coronary arteriovenous fistula using multiple devices in a 12-day-old neonate Cathet Cardiovasc Interv 60 291–294 Occurrence Handle10.1002/ccd.10629

    Article  Google Scholar 

  10. WH Johnson SuffixJr RK Peterson DF Rowland et al. (1990) ArticleTitleSystemic heparinization does not prevent clot formation in coil embolization Cathet Cardiovasc Diagn 20 267–270 Occurrence Handle2145074

    PubMed  Google Scholar 

  11. KR Kanter RN Vincent (2002) ArticleTitleManagement of aortopulmonary collateral arteries in Fontan patients: occlusion improves clinical outcome Semin Thorac Cardiovac Surg Pediatr Card Surg Annu 5 48–54 Occurrence Handle10.1053/pcsu.2002.31501

    Article  Google Scholar 

  12. KR Kanter RN Vincent AA Raviele (1999) ArticleTitleImportance of acquired systemic-to-pulmonary collaterals in the Fontan operation Ann Thorac Surg 68 969–974 Occurrence Handle10.1016/S0003-4975(99)00782-1 Occurrence Handle10509993

    Article  PubMed  Google Scholar 

  13. FS Keller J Rosch TG Loflin et al. (1987) ArticleTitleNonbronchial systemic collateral arteries: significance in percutaneous embolotherapy for hemoptysis Radiology 164 687–692

    Google Scholar 

  14. GS Kopf H Laks HC Stansel et al. (1990) ArticleTitleThirty-year follow-up of superior vena cava–pulmonary artery (Glenn) shunts J Thorac Cardiovasc Surg 100 662–670 Occurrence Handle1700228

    PubMed  Google Scholar 

  15. C Mavroudis CL Backer AP Rocchini et al. (1997) ArticleTitleCoronary artery fistulas in infants and children: a surgical review and discussion of coil embolization Ann Thorac Surg 63 1235–1242 Occurrence Handle10.1016/S0003-4975(97)00251-8 Occurrence Handle9146308

    Article  PubMed  Google Scholar 

  16. ME McConnell P Aronin JJ Vitek (1993) ArticleTitleCongestive heart failure in neonates due to intracranial arteriovenous malformation: endovascular treatment Pediatr Cardiol 14 102–106 Occurrence Handle10.1007/BF00796988 Occurrence Handle8469626

    Article  PubMed  Google Scholar 

  17. DB McElhinney VM Reddy W Tworetzky et al. (2000) ArticleTitleIncidence and implications of systemic to pulmonary collaterals after bidirectional cavopulmonary anastomosis Ann Thorac Surg 69 1222–1228 Occurrence Handle10.1016/S0003-4975(99)01088-7 Occurrence Handle10800823

    Article  PubMed  Google Scholar 

  18. DB McElhinney VM Reddy FL Hanley et al. (1997) ArticleTitleSystemic venous collateral channels causing desaturation after bidirectional cavopulmonary anastomosis: evaluation and management J Am Coll Cardiol 30 817–824 Occurrence Handle10.1016/S0735-1097(97)00223-4 Occurrence Handle9283546

    Article  PubMed  Google Scholar 

  19. PJ Mitchell JV Rosenfeld P Dargaville et al. (2001) ArticleTitleEndovascular management of vein of Galen aneurysmal malformations presenting in the neonatal period Am J Neuroradiol 22 1403–1409

    Google Scholar 

  20. JW Moore L George SE Kirkpatrick et al. (1994) ArticleTitlePercutaneous closure of the small patent ductus arteriosus using occluding spring coils J Am Coll Cardiol 23 759–765 Occurrence Handle8113562

    PubMed  Google Scholar 

  21. JW Moore FF Ing D Drummond et al. (2000) ArticleTitleTranscatheter closure of surgical shunts in patients with congenital heart disease Am J Cardiol 85 636–640

    Google Scholar 

  22. DA Mulrooney B Carpenter M Georgieff et al. (2001) ArticleTitleHepatic mesenchymal hamartoma in a neonate: a case report and review of the literature J Pediatr Hematol Oncol 23 316–317 Occurrence Handle10.1097/00043426-200106000-00017 Occurrence Handle11464991

    Article  PubMed  Google Scholar 

  23. SB Perry W Radtke KE Fellows et al. (1989) ArticleTitleCoil embolization to occlude aortopulmonary collateral vessels and shunts in patients with congenital heart disease J Am Coll Cardiol 13 100–108 Occurrence Handle2909557

    PubMed  Google Scholar 

  24. SA Qureshi JF Reidy MB Alwi et al. (1996) ArticleTitleUse of interlocking detachable coils in embolization of coronary arteriovenous fistulas Am J Cardiol 78 110–113

    Google Scholar 

  25. JF Reidy OD Jones MJ Tynan et al. (1985) ArticleTitleEmbolisation procedures in congenital heart disease Br Heart J 54 184–192 Occurrence Handle4015928

    PubMed  Google Scholar 

  26. A Rothman AD Tong (1993) ArticleTitlePercutaneous coil embolization of superfluous vascular connections in patients with congenital heart disease Am Heart J 126 206–213 Occurrence Handle8322666

    PubMed  Google Scholar 

  27. S Sharma SS Kothari R Krishnakumar et al. (1995) ArticleTitleSystemic-to-pulmonary artery collateral vessels and surgical shunts in patients with cyanotic congenital heart disease: perioperative treatment by transcatheter embolization Am J Roentgenol 164 1505–1510

    Google Scholar 

  28. JD Sidman WB Wheeler AK Cabalka et al. (2001) ArticleTitleManagement of acute pulmonary hemorrhage in children Laryngoscope 111 33–35 Occurrence Handle10.1097/00005537-200101000-00006 Occurrence Handle11192896

    Article  PubMed  Google Scholar 

  29. R Szarnicki HJ Krebber J Wack (1981) ArticleTitleWire coil embolization of systemic–pulmonary artery collaterals following surgical correction of pulmonary atresia J Thorac Cardiovasc Surg 81 124–126 Occurrence Handle7453213

    PubMed  Google Scholar 

  30. WP der Particlevan LH Baur LJ Kool et al. (1998) ArticleTitleEmbolization as a treatment of life-threatening haemoptysis in an adult with tetralogy of Fallot with pulmonary atresia Int J Card Imaging 14 123–126 Occurrence Handle10.1023/A:1005946202878 Occurrence Handle9617643

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Our Lady’s Hospital for Sick Children, Crumlin, Dublin 12, Ireland

    K. P. Walsh

Authors
  1. K. P. Walsh
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Walsh, K.P. Advanced Embolization Techniques. Pediatr Cardiol 26, 275–288 (2005). https://doi.org/10.1007/s00246-005-1012-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-005-1012-6

Key words

Search

Navigation