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Original research article


Percutaneous Direct Needle Puncture and Transcatheter N-butyl Cyanoacrylate Injection Techniques for the Embolization of Pseudoaneurysms and Aneurysms of Arteries Supplying the Hepato-pancreato-biliary System and Gastrointestinal Tract.

Rajanikant R YadavDeb K BoruahVishwaroop BhattacharyyaRaghunandan PrasadSheo KumarV A SaraswatV K KapoorRajan Saxena
Departments of Radiodiagnosis, Medical Gastroenterology and Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar PradeshDepartment of Radiodiagnosis, Assam Medical College, Dibrugarh, Assam, India
Date of Submission: 24-Sep-2016, Date of Acceptance: 29-Oct-2016, Date of Web Publication: 20-Dec-2016.
Corresponding Author:
Corresponding Author

Rajanikant R Yadav

Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibareli Road, Lucknow ‑ 226 014, Uttar Pradesh, India.
E-mail: rajani24478@gmail.com

Corresponding Author:
Corresponding Author

Rajanikant R Yadav

Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibareli Road, Lucknow ‑ 226 014, Uttar Pradesh, India.
E-mail: rajani24478@gmail.com

DOI: 10.4103/2156-7514.196278 Facebook Twitter Google Linkedin

ABSTRACT



Aims: The aim of this study was to evaluate the safety and clinical efficacy of percutaneous direct needle puncture and transcatheter N-butyl cyanoacrylate (NBCA) injection techniques for the embolization of pseudoaneurysms and aneurysms of arteries supplying the hepato-pancreato-biliary (HPB) system and gastrointestinal (GI) tract.
Subjects and Methods: A hospital-based cross-sectional retrospective study was conducted, where the study group comprised 11 patients with pseudoaneurysms/aneurysms of arteries supplying the HPB system and GI tract presenting to a tertiary care center from January 2015 to June 2016. Four patients (36.4%) underwent percutaneous direct needle puncture of pseudoaneurysms with NBCA injection, 3 patients (27.3%) underwent transcatheter embolization with NBCA as sole embolic agent, and in 4 patients (36.4%), transcatheter NBCA injection was done along with coil embolization.
Results: This retrospective study comprised 11 patients (8 males and 3 females) with mean age of 35.8 years ± 1.6 (standard deviation [SD]). The mean volume of NBCA: ethiodized oil (lipiodol) mixture injected by percutaneous direct needle puncture was 0.62 ml ± 0.25 (SD) (range = 0.5–1 ml), and by transcatheter injection, it was 0.62 ml ± 0.37 (SD) (range = 0.3–1.4 ml). Embolization with NBCA was technically and clinically successful in all patients (100%). No recurrence of bleeding or recurrence of pseudoaneurysm/aneurysm was noted in our study.
Conclusions: Percutaneous direct needle puncture of visceral artery pseudoaneurysms and NBCA glue injection and transcatheter NBCA injection for embolization of visceral artery pseudoaneurysms and aneurysms are cost-effective techniques that can be used when coil embolization is not feasible or has failed.
Keywords: Gastrointestinal Bleed, N-butyl Cyanoacrylate, Pseudoaneurysms, Transcatheter

Cited in 1 Document

  1. Qasim Rahman, Sailen G. Naidu, Brian W. Chong and William M. Stone (2019) Percutaneous Embolization of an Inferior Mesenteric Artery Aneurysm in a Patient With Type IV Ehlers-Danlos Syndrome. Vasc Endovascular Surg 53(4):343. doi: 10.1177/1538574418824185

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