Embolization of high flow arteriovenous malformations with HepaSphere microspheres / 中华整形外科杂志

<p><b>OBJECTIVE</b>To determine the effect, safety, and feasibility of embolization of high flow arteriovenous malformations (AVMs) with HepaSphere microspheres.</p><p><b>METHODS</b>HepaSphere particles swell by absorbing fluids and become soft and deformable with a precisely calibrated diameter. 13 patients with AVMs were treated by transarterial embolization with HepaSphere particles. 3 cases underwent a following AVMs resection surgery. The follow-up period was 3 months to 3 years. Symptoms improvement and image examination were studied.</p><p><b>RESULTS</b>28 transarterial embolizations were performed in 13 cases. The resection operation was performed in 3 cases after transarterial embolizations. The symptoms in diffused AVMs improved after several transarterial embolizations. Histologically, HepaSphere particles penetrated into the intralesional vessels and conformed to the vessel lumen, resulting in vessel occlusion. Minimal perivascular reaction was observed.</p><p><b>CONCLUSIONS</b>Embolization of high flow AVMs with HepaSphere microspheres is safe and effective. Combined treatment is necessary for diffuse AVMs.</p>

The CT diagnosis and transcatheter embolization in treatment of acute pancreatitis complicating pseudoaneurysm / 中华消化杂志

Objective To evaluate the effects of diagnosis and treatment of acute pancreatitis com- plicating pseudoaneurysm by CT scan and transcatheter embolization.Methods Eighteen cases of acute panereatitis complicating pseudoaneurysm were performed abdominal angiography and transcatheter em- bolization.The CT and digital substraction angiography(DSA)findings and clinical data were retrospec- tively analyzed.The location of pseudoaneurysm and hemostasis were observed.Results CT scan re- vealed regional or diffuse slight high density fluid collections in abdominal cavity of all patients.En- hanced CT showed contained extravasation of contrast which indictated ruptured the pseudoaneurysm. DSA revealed 22 pseudoaneurysm,and 20 had evidence of bleeding.All pseudoaneurysms were success- fully embolized with coils,and hemostasis was achieyed in 18 pseudoaneurysm immediately.Conclusions The acute pancreatitis complicating pseudoaneurysm can be examined with CT scan and transcatheter embolization is safe and effective therapeutic method.