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Title: Balloon Blocking Technique (BBT) for Superselective Catheterization of Inaccessible Arteries with Conventional and Modified Techniques

Abstract

PurposeThe purpose of the study was to retrospectively evaluate the efficacy and safety of the balloon blocking technique (BBT).Materials and MethodsThe BBT was performed in six patients (all males, mean 73.5 years) in whom superselective catheterization for transcatheter arterial embolization by the conventional microcatheter techniques had failed due to anatomical difficulty, including targeted arteries originating steeply or hooked from parent arteries. All BBT procedures were performed using Seldinger’s transfemoral method. Occlusive balloons were deployed and inflated at the distal side of the target artery branching site in the parent artery via transfemoral access. A microcatheter was delivered from a 5-F catheter via another femoral access and was advanced over the microguidewire into the target artery, under balloon blockage of advancement of the microguidewire into non-target branches. After the balloon catheter was deflated and withdrawn, optimal interventions were performed through the microcatheter.ResultsAfter success of accessing the targeted artery by BBT, optimal interventions were accomplished in all patients with no complications other than vasovagal hypotension, which responded to nominal therapy.ConclusionThe BBT may be useful in superselective catheterization of inaccessible arteries due to anatomical difficulties.

Authors:
 [1];  [2];  [1];  [3];  [1]
  1. Japan Red Cross Kyoto Daiichi Hospital, Department of Diagnostic Radiology (Japan)
  2. Kyoto Prefectural University of Medicine, Department of Radiology, North Medical Center (Japan)
  3. Kyoto Prefectural University of Medicine, Department of Radiology, Graduate School of Medical Science (Japan)
Publication Date:
OSTI Identifier:
22642516
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 6; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BRANCHING RATIO; CHANNELING; HYPOTENSION; PATIENTS; SAFETY; THERAPY; VASCULAR DISEASES

Citation Formats

Morishita, Hiroyuki, E-mail: hmorif@koto.kpu-m.ac.jp, E-mail: mori-h33@xa2.so-net.ne.jp, Takeuchi, Yoshito, E-mail: yotake62@qg8.so-net.ne.jp, Ito, Takaaki, E-mail: takaaki@koto.kpu-m.ac.jp, Hayashi, Natsuko, E-mail: hayashin@koto.kpu-m.ac.jp, and Sato, Osamu, E-mail: osamu-sato@kyoto1-jrc.org. Balloon Blocking Technique (BBT) for Superselective Catheterization of Inaccessible Arteries with Conventional and Modified Techniques. United States: N. p., 2016. Web. doi:10.1007/S00270-015-1271-4.
Morishita, Hiroyuki, E-mail: hmorif@koto.kpu-m.ac.jp, E-mail: mori-h33@xa2.so-net.ne.jp, Takeuchi, Yoshito, E-mail: yotake62@qg8.so-net.ne.jp, Ito, Takaaki, E-mail: takaaki@koto.kpu-m.ac.jp, Hayashi, Natsuko, E-mail: hayashin@koto.kpu-m.ac.jp, & Sato, Osamu, E-mail: osamu-sato@kyoto1-jrc.org. Balloon Blocking Technique (BBT) for Superselective Catheterization of Inaccessible Arteries with Conventional and Modified Techniques. United States. doi:10.1007/S00270-015-1271-4.
Morishita, Hiroyuki, E-mail: hmorif@koto.kpu-m.ac.jp, E-mail: mori-h33@xa2.so-net.ne.jp, Takeuchi, Yoshito, E-mail: yotake62@qg8.so-net.ne.jp, Ito, Takaaki, E-mail: takaaki@koto.kpu-m.ac.jp, Hayashi, Natsuko, E-mail: hayashin@koto.kpu-m.ac.jp, and Sato, Osamu, E-mail: osamu-sato@kyoto1-jrc.org. Wed . "Balloon Blocking Technique (BBT) for Superselective Catheterization of Inaccessible Arteries with Conventional and Modified Techniques". United States. doi:10.1007/S00270-015-1271-4.
@article{osti_22642516,
title = {Balloon Blocking Technique (BBT) for Superselective Catheterization of Inaccessible Arteries with Conventional and Modified Techniques},
author = {Morishita, Hiroyuki, E-mail: hmorif@koto.kpu-m.ac.jp, E-mail: mori-h33@xa2.so-net.ne.jp and Takeuchi, Yoshito, E-mail: yotake62@qg8.so-net.ne.jp and Ito, Takaaki, E-mail: takaaki@koto.kpu-m.ac.jp and Hayashi, Natsuko, E-mail: hayashin@koto.kpu-m.ac.jp and Sato, Osamu, E-mail: osamu-sato@kyoto1-jrc.org},
abstractNote = {PurposeThe purpose of the study was to retrospectively evaluate the efficacy and safety of the balloon blocking technique (BBT).Materials and MethodsThe BBT was performed in six patients (all males, mean 73.5 years) in whom superselective catheterization for transcatheter arterial embolization by the conventional microcatheter techniques had failed due to anatomical difficulty, including targeted arteries originating steeply or hooked from parent arteries. All BBT procedures were performed using Seldinger’s transfemoral method. Occlusive balloons were deployed and inflated at the distal side of the target artery branching site in the parent artery via transfemoral access. A microcatheter was delivered from a 5-F catheter via another femoral access and was advanced over the microguidewire into the target artery, under balloon blockage of advancement of the microguidewire into non-target branches. After the balloon catheter was deflated and withdrawn, optimal interventions were performed through the microcatheter.ResultsAfter success of accessing the targeted artery by BBT, optimal interventions were accomplished in all patients with no complications other than vasovagal hypotension, which responded to nominal therapy.ConclusionThe BBT may be useful in superselective catheterization of inaccessible arteries due to anatomical difficulties.},
doi = {10.1007/S00270-015-1271-4},
journal = {Cardiovascular and Interventional Radiology},
number = 6,
volume = 39,
place = {United States},
year = {Wed Jun 15 00:00:00 EDT 2016},
month = {Wed Jun 15 00:00:00 EDT 2016}
}