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Chapter-04 A Review of Endovascular Tools

BOOK TITLE: Neurovascular Surgical Techniques

Author
1. Peeling Lissa
2. Fiorella David
ISBN
9789350900888
DOI
10.5005/jp/books/11824_4
Edition
1/e
Publishing Year
2013
Pages
17
Author Affiliations
1. Stony Brook University Medical Center, Cerebrovascular Center, Hospital Level 4, Suite 430, Stony Brook, New York, USA
2. Stony Brook University Medical Center, Cerebrovascular Center, Hospital Level 4, Suite 430, Stony Brook, New York, USA
Chapter keywords
Endovascular treatments, embolic agents, cyanoacrylates, hydrocoil embolic system, polyglycolic polylactic coils, hypercompliant balloons, pipeline embolization device, detachable coils, embolization microspheres, microfibrillar collagen material

Abstract

The chapter discusses about various tools used for endovascular treatments. The liquid embolic agents are used for the embolization of arteriovenous malformations (AVMs). Onyx HD500 is one commonly used embolic agents. Cyanoacrylates are still frequently used for cerebral vascular malformation embolization. Ethyl alcohol is being used as a liquid embolic in peripheral interventional radiology procedures to treat pathologies and a variety of highly vascular tumors of the liver and kidney. Some of the embolic agents such as horsehair, silk sutures, gelfoam, microfibrillar collagen material, polyvinyl alcohol and embolization microspheres have been used for years to treat a variety of pathologies, including AVMs, tumors and other sources of bleeding throughout the body. The chapter also discusses about the selection of the catheter, detachable coils (its stiffness, shape, sizes, durability, and detachment mechanism), hydrocoil embolic system, polyglycolic polylactic coils, pushable or injectable coils, various types of stents, pipeline embolization device, non-detachable hypercompliant balloons, retrieval devices, and closure devices.

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