Advance in Clinical Application of Embolization Techniques

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 1190

Special Issue Editor


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Guest Editor
Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste, ASUGI, Trieste, Italy
Interests: vascular and endovascular surgery; vascular medicine; vascular epidemiology; vascular imaging; vascular biology; vascular pharmacology

Special Issue Information

Dear Colleagues,

Transcatheter embolization is a well-established technique in endovascular surgery and interventional radiology, less invasive than open surgery, to which it could be seen as alternative or complementary option according to the clincial scenario. In endovascular embolization, an occlusive agent is usually delivered to obstruct flow within a targeted vessel. Different tools and techniques are routinely used worldwide in both elective and emergent situations to treat a wide range of vascular pathologies including aneurysms, hemorrhages, traumas, tumours, malformations, and endoleaks. Each embolic agent is characterized by its respective strengths and weaknesses and can be used alone or combined with other occlusive agents to enhance its embolic power. The aim of this Special Issue is to highlight the state of the art of embolization techniques, innovative approaches in terms of new embolic agents or new applications of conventional techniques, and the future perspectives in this specific field.

Dr. Mario D’Oria
Guest Editor

Manuscript Submission Information

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Keywords

  • endovascular surgery
  • endovascular techniques
  • transcatheter embolization
  • interventional radiology
  • hemorrhage
  • trauma
  • aneurysms
  • plugs

Published Papers (2 papers)

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Review

10 pages, 1252 KiB  
Review
Percutaneous Retrograde Trans-Gluteal Embolization of Type 2 Endoleak Causing Iliac Aneurysm Enlargement after Endovascular Repair: Case Report and Literature Review
by Andrea Esposito, Rocco Pasqua, Danilo Menna, Antonio Nicola Giordano, Giulio Illuminati and Vito D’Andrea
J. Clin. Med. 2024, 13(10), 2909; https://doi.org/10.3390/jcm13102909 - 15 May 2024
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Abstract
Late type II endoleaks (T2ELs) arising from the internal iliac artery (IIA) may present during follow-up after endovascular aortic repair (EVAR) of aortoiliac aneurysm and may warrant embolization if enlargement of the aneurysmal sac is demonstrated. When coverage of the IIA ostium has [...] Read more.
Late type II endoleaks (T2ELs) arising from the internal iliac artery (IIA) may present during follow-up after endovascular aortic repair (EVAR) of aortoiliac aneurysm and may warrant embolization if enlargement of the aneurysmal sac is demonstrated. When coverage of the IIA ostium has been made due to extensive iliac disease, access options can be challenging. Different treatment options have been reported over recent years, and a careful selection of the best one must be made based on the characteristics of each case. The present study reports a simple and reproducible sheathless percutaneous superior gluteal artery (SGA) access and provides a discussion based on a review of the existing literature on this topic. Full article
(This article belongs to the Special Issue Advance in Clinical Application of Embolization Techniques)
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14 pages, 2857 KiB  
Review
Plug-Based Embolization Techniques of Aortic Side Branches during Standard and Complex Endovascular Aortic Repair
by Andrea Melloni, Mario D’Oria, Pietro Dioni, Deborah Ongaro, Giovanni Badalamenti, Sandro Lepidi, Stefano Bonardelli and Luca Bertoglio
J. Clin. Med. 2024, 13(7), 2084; https://doi.org/10.3390/jcm13072084 - 3 Apr 2024
Viewed by 632
Abstract
Vascular plugs are an evolving family of vessel occluders providing a single-device embolization system for large, high-flow arteries. Nitinol mesh plugs and polytetrafluoroethylene membrane plugs are available in different configurations and sizes to occlude arteries from 3 to 20 mm in diameter. Possible [...] Read more.
Vascular plugs are an evolving family of vessel occluders providing a single-device embolization system for large, high-flow arteries. Nitinol mesh plugs and polytetrafluoroethylene membrane plugs are available in different configurations and sizes to occlude arteries from 3 to 20 mm in diameter. Possible applications during complex endovascular aortic procedures are aortic branch embolization to prevent endoleak or to gain an adequate landing zone, directional branch occlusion, and false lumen embolization in aortic dissection. Plugs are delivered through catheters or introducers, and their technical and clinical results are comparable to those of coil embolization. Plugs are more accurate than coils as repositionable devices, less prone to migration, and have fewer blooming artifacts on postoperative computed tomography imaging. Their main drawback is the need for larger delivery systems. This narrative review describes up-to-date techniques and technology for plug embolization in complex aortic repair. Full article
(This article belongs to the Special Issue Advance in Clinical Application of Embolization Techniques)
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