Embolization of a High-Output Postnephrectomy Aortocaval Fistula with Gianturco Coils and Cyanoacrylate

Journal Article · Fri Nov 15 00:00:00 EST 1996 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900013· OSTI ID:21080566

Cekirge, Saruhan; Oguzkurt, Levent; Saatci, Isil; Boyvat, Fatih; Balkanci, Ferhun ^[1]

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1. Department of Radiology, Vascular/Interventional Radiology Section, Hacettepe Universitesi Tip Fakueltesi, Sihhiye, 06100 Ankara (Turkey)

The authors describe the endovascular treatment of a high-output, large-caliber, postnephrectomy aortocaval fistula using a mixture of cyanoacrylate and lipiodol combined with Gianturco coil embolization. Thirty-nine coils were used to decrease the flow through the fistula so that a fast-polymerizing glue mixture could be injected into the fistula. During rapid polymerization, the N-butyl-2-cyanoacrylate (NBCA) mixture was trapped within the coils, providing an easily controllable glue cast in the fistula, thereby preventing inadvertent embolization into the lungs. This approach can be of considerable benefit for the endovascular treatment of central high-output fistulas.

• OSTI ID: 21080566
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 19, Issue 1; Other Information: DOI: 10.1007/s002709900013; Copyright (c) 1996 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
KIDNEYS
LIPIODOL
LUNGS
NEPHRECTOMY
POLYMERIZATION