RadioGraphics
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Coldwell, D. M.
Right arrow Articles by Yakes, W. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Coldwell, D. M.
Right arrow Articles by Yakes, W. F.

RadioGraphics, Vol 14, 623-643, Copyright © 1994 by Radiological Society of North America

REVIEWS

Embolotherapy: agents, clinical applications, and techniques

DM Coldwell, KR Stokes and WF Yakes
Department of Radiology, University of Washington, School of Medicine, Seattle 98195.

For embolization to be successful, three factors must be addressed: embolic agent selection, clinical application, and technical skill. The major embolic agents used include stainless steel coils, absorbable gelatin pledgets and powder, polyvinyl alcohol foam, ethanol, and glues. Each of these agents acts at different levels in the arterial system; for example, coils are equivalent to surgical ligation and occlude medium to small arteries, whereas liquid agents and the smaller diameter particles occlude at the arteriolar level or the capillary bed. The type of agent selected should also be determined according to clinical application, which includes trauma, tumors, male infertility, impotence, and vascular malformations. It may be better to occlude an artery only temporarily, particularly in trauma patients, and absorbable gelatin material is preferred for this application. Conversely, permanent occlusion of arteries with either ethanol or polyvinyl alcohol foam particles may be necessary in the treatment of tumors. To use embolotherapy effectively, the interventional radiologist must be experienced, familiar with the underlying pathologic processes, and knowledgeable with regard to the role of other specialties in the treatment of the disease process presented.


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
R. Kickuth, C. Waldherr, H. Hoppe, H. M. Bonel, K. Ludwig, M. Beck, and J. Triller
Interventional Management of Hypervascular Osseous Metastasis: Role of Embolotherapy Before Orthopedic Tumor Resection and Bone Stabilization
Am. J. Roentgenol., December 1, 2008; 191(6): W240 - W247.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
T. B. Stefanutto and V. Halbach
Bronchospasm Precipitated by Ethanol Injection in Arteriovenous Malformation
AJNR Am. J. Neuroradiol., November 1, 2003; 24(10): 2050 - 2051.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
N. Tarif, A. H. Mitwalli, S. A. A. Samayer, H. Abu-Aisha, N. A. Memon, F. Sulaimani, A. Alam, and J. S. A. Wakeel
Congenital renal arteriovenous malformation presenting as severe hypertension
Nephrol. Dial. Transplant., February 1, 2002; 17(2): 291 - 294.
[Full Text] [PDF]

Home page
 Clin. Cancer Res.Home page
L. M. Bavisotto, N. H. Patel, S. J. Althaus, D. M. Coldwell, H. V. Nghiem, T. Thompson, B. Storer, and C. R. Thomas Jr.
Hepatic Transcatheter Arterial Chemoembolization Alternating with Systemic Protracted Continuous Infusion 5-Fluorouracil for Gastrointestinal Malignancies Metastatic to Liver: A Phase II Trial of the Puget Sound Oncology Consortium (PSOC 1104)
Clin. Cancer Res., January 1, 1999; 5(1): 95 - 109.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOGRAPHICS RADIOLOGY RSNA JOURNALS ONLINE
Copyright © 1994 by the Radiological Society of North America.