[Embolization of acute abdominal and thoracic hemorrhages with ethylene vinyl alcohol copolymer (Onyx): initial experiences with arteries of the body trunk]

Rofo. 2010 Oct;182(10):900-4. doi: 10.1055/s-0029-1245572. Epub 2010 Aug 19.
[Article in German]

Abstract

During the last years most embolizations with the liquid agent Onyx have been performed in the field of neuroradiological interventions. There is minimal experience with arterial embolizations of the body trunk. 23 patients suffering from acute abdominal or thoracic bleeding underwent 28 embolizations with Onyx (17 male, 6 female, mean age 69 years). 27 interventions were technically and clinically successful. One patient with rebleeding from a jejunal artery aneurysm underwent surgery. Onyx embolizations were performed in renal, hepatic, iliac and bronchial arteries and esophageal varices. Compared with prior embolisation agents Onyx offers advantages due to good controllability. Fast arterial occlusion improves time management of patients. In comparison with prior techniques we observed a significant reduction of fluoroscopy time. Quantitative measurements demonstrated a significant higher embolisation agent contrast.

MeSH terms

  • Aged
  • Angiography
  • Dimethyl Sulfoxide / therapeutic use*
  • Embolization, Therapeutic / methods*
  • Female
  • Follow-Up Studies
  • Hemoperitoneum / diagnostic imaging
  • Hemoperitoneum / etiology
  • Hemoperitoneum / therapy*
  • Hemothorax / diagnostic imaging
  • Hemothorax / etiology
  • Hemothorax / therapy*
  • Humans
  • Male
  • Polyvinyls / therapeutic use*
  • Recurrence
  • Retreatment

Substances

  • Onyx copolymer
  • Polyvinyls
  • Dimethyl Sulfoxide