Embolization endovascular technologies in emergency medicine

Kavteladze Z.A.; Ermolaev P.M.; Danilenko S.Yu.; Nadaraya V.M.

doi:https://doi.org/10.17116/rbpdpm2024104168

Close metadata

Abstract:

Embolization procedures are common not only as the main treatment method, but also for the management of complications after open surgeries and minimally invasive interventions, as well as for various hemorrhagic conditions. In recent years, new occlusion devices have been developed for various intravascular conditions to maximize the effectiveness of treatment and reduce the risk of possible complications. Nevertheless, there are still the unresolved problems of endovascular occlusive surgery, disadvantages of occlusive devices, impossible widespread introduction into clinical practice due to financial constraints and high cost of imported occluders. Development and implementation of new devices for vascular occlusion will expand the indications for embolization, increase the safety and effectiveness of endovascular embolization of arteries, and improve the quality of medical care for patients with various bleeding, acute and chronic cardiovascular diseases.

Keywords:

minimally invasive interventions

endovascular embolization of arteries

occlusive devices

Authors:

Kavteladze Z.A.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0003-0617-2332

Ermolaev P.M.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0001-6247-3872

Danilenko S.Yu.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0002-0887-0946

Nadaraya V.M.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0002-0876-342X

Received:

25.08.2024

Accepted:

15.09.2024

Close metadata

References:

Sheth RA, Sabir S, Krishnamurthy S, Avery RK, Zhang YS, Khademhosseini A, Oklu R. Endovascular Embolization by Transcatheter Delivery of Particles: Past, Present, and Future. Journal of Functional Biomaterials. 2017;8(2):12. https://doi.org/10.3390/jfb8020012
Hu J, Albadawi H, Chong BW, Deipolyi AR, Sheth RA, Khademhosseini A, Oklu R. Advances in Biomaterials and Technologies for Vascular Embolization. Advanced Materials. 2019;31(33):e1901071. https://doi.org/10.1002/adma.201901071
Leyon JJ, Littlehales T, Rangarajan B, Hoey ET, Ganeshan A. Endovascular embolization: review of currently available embolization agents. Current Problems in Diagnostic Radiology. 2014;43(1):35-53. https://doi.org/10.1067/j.cpradiol.2013.10.003
Rösch J, Dotter CT, Brown MJ. Selective arterial embolization. A new method for control of acute gastrointestinal bleeding. Radiology. 1972; 102(2):303-306. https://doi.org/10.1148/102.2.303
Rousseau H, Vernhet-Kovacsik H, Mouroz PR, Otal P, Meyrignac O, Mokrane FZ. Future of interventional radiology. Presse Medicale. 2019; 48(6):648-654. https://doi.org/10.1016/j.lpm.2019.03.015
Indiaminov SI, Zhumanov ZE. Problemnye aspekty tanatogeneza v rezul’tate krovopoteri i pri gemorragicheskom shoke: monografiya. Tashkent: Navruz; 2020. (In Russ.).
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, Abraham J, Adair T, Aggarwal R, Ahn SY, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Barker-Collo S, Bartels DH, Bell ML, Benjamin EJ, Bennett D, Bhalla K, Bikbov B, Bin Abdulhak A, Birbeck G, Blyth F, Bolliger I, Boufous S, Bucello C, Burch M, Burney P, Carapetis J, Chen H, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahodwala N, De Leo D, Degenhardt L, Delossantos A, Denenberg J, Des Jarlais DC, Dharmaratne SD, Dorsey ER, Driscoll T, Duber H, Ebel B, Erwin PJ, Espindola P, Ezzati M, Feigin V, Flaxman AD, Forouzanfar MH, Fowkes FG, Franklin R, Fransen M, Freeman MK, Gabriel SE, Gakidou E, Gaspari F, Gillum RF, Gonzalez-Medina D, Halasa YA, Haring D, Harrison JE, Havmoeller R, Hay RJ, Hoen B, Hotez PJ, Hoy D, Jacobsen KH, James SL, Jasrasaria R, Jayaraman S, Johns N, Karthikeyan G, Kassebaum N, Keren A, Khoo JP, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lipnick M, Lipshultz SE, Ohno SL, Mabweijano J, MacIntyre MF, Mallinger L, March L, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGrath J, Mensah GA, Merriman TR, Michaud C, Miller M, Miller TR, Mock C, Mocumbi AO, Mokdad AA, Moran A, Mulholland K, Nair MN, Naldi L, Narayan KM, Nasseri K, Norman P, O’Donnell M, Omer SB, Ortblad K, Osborne R, Ozgediz D, Pahari B, Pandian JD, Rivero AP, Padilla RP, Perez-Ruiz F, Perico N, Phillips D, Pierce K, Pope CA 3rd, Porrini E, Pourmalek F, Raju M, Ranganathan D, Rehm JT, Rein DB, Remuzzi G, Rivara FP, Roberts T, De León FR, Rosenfeld LC, Rushton L, Sacco RL, Salomon JA, Sampson U, Sanman E, Schwebel DC, Segui-Gomez M, Shepard DS, Singh D, Singleton J, Sliwa K, Smith E, Steer A, Taylor JA, Thomas B, Tleyjeh IM, Towbin JA, Truelsen T, Undurraga EA, Venketasubramanian N, Vijayakumar L, Vos T, Wagner GR, Wang M, Wang W, Watt K, Weinstock MA, Weintraub R, Wilkinson JD, Woolf AD, Wulf S, Yeh PH, Yip P, Zabetian A, Zheng ZJ, Lopez AD, Murray CJ, AlMazroa MA, Memish ZA. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095-20128. https://doi.org/10.1016/S0140-6736(12)61728-0
Weir A, Kennedy P, Joyce S, Ryan D, Spence L, McEntee M, Maher M, O’Connor O. Endovascular management of pelvic trauma. Annals of Translational Medicine. 2021;9(14):1196. https://doi.org/10.21037/atm-20-4591
Eriksson LG, Ljungdahl M, Sundbom M, Nyman R. Transcatheter arterial embolization versus surgery in the treatment of upper gastrointestinal bleeding after therapeutic endoscopy failure. Journal of Vascular and Interventional Radiology. 2008;19(10):1413-1418. https://doi.org/10.1016/j.jvir.2008.06.019
Ramaswamy RS, Choi HW, Mouser HC, Narsinh KH, McCammack KC, Treesit T, Kinney TB. Role of interventional radiology in the management of acute gastrointestinal bleeding. World Journal of Radiology. 2014;6(4):82-92. https://doi.org/10.4329/wjr.v6.i4.82
Lin Ch, Liu L, Liu Y, Leng J. Recent developments in next-generation occlusion devices. Acta Biomaterialia. 2021;18(s):1-20. https://doi.org/10.1016/j.actbio.2021.04.050
Gianturco C, Anderson JH, Wallace S. Mechanical devices for arterial occlusion. American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine. 1975;124(3):428-435. https://doi.org/10.2214/ajr.124.3.428.
Chakraverty S, Flood K, Kessel D, McPherson S, Nicholson T, Ray CE Jr, Robertson I, van Delden OM. CIRSE guidelines: quality improvement guidelines for endovascular treatment of traumatic hemorrhage. CardioVascular and Interventional Radiology. 2012;35(3):472-482. https://doi.org/10.1007/s00270-012-0339-7
Sanjay P, Kellner M, Tait IS. The role of interventional radiology in the management of surgical complications after pancreatoduodenectomy. HPB (Oxford). 2012;14(12):812-817. https://doi.org/10.1111/j.1477-2574.2012.00545.x
Chen Y, Yang Y, Xu WJ, Xin YJ, Wang YN, Zhou X, Li X. Clinical application of interventional embolization in tumor-associated hemorrhage. Annals of Translational Medicine. 2020;8(6):394. https://doi.org/10.21037/atm.2020.03.69
Kaufmann R, Zech CJ, Deutschmann M, Scharinger B, Hecht S, Hergan K, Rezar R, Hitzl W, Meissnitzer M. Endovascular embolization techniques in acute thoracic and abdominal bleedings can be technically reproduced and trained in a standardized simulation setting using SLA 3D printing: a 1-year single-center study. Insights Imaging. 2022;13(1):72. https://doi.org/10.1186/s13244-022-01206-7
Perekhodov SN, Karpun NA, Vasilchenko MI, Snitsar AV, Kulezneva YuV. The role of endovascular interventions in the treatment and prevention of high gastrointestinal bleeding of non-varicose etiology. Moskovskaya meditsina. 2019;6:80-81. (In Russ.).
Alekyan BG, Grigoryan AM, Staferov AV, Karapetyan NG. X-ray endovascular diagnosis and treatment of heart and vascular diseases in the Russian Federation — 2021. Endovaskulyarnaya khirurgiya. 2022;9 (Spetsial’nyj vypusk): S5-S254. (In Russ.). https://doi.org/10.24183/2409-4080-2022-9S-S5-S254
Reva VA. Travmy i raneniya krovenosnykh sosudov: otkrytye, endovaskulyarnye i gibridnye metody lecheniya: Diss. … d-ra med. nauk. Sankt-Peterburg; 2020. (In Russ.).
Yazvennye gastroduodenal’nye krovotecheniya. Klinicheskie rekomendatsii. 2023. (In Russ.). Accessed November 25, 2024. https://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/stranica-pravlenija/klinicheskie-rekomendaci/urgentnaja-abdominalnaja-hirurgija/jazvenye-gastroduodenalnye-krovotechenija-2023.html?ysclid=ltlg67wbrp907318485
Krovotecheniya iz opukholi zheludka. Klinicheskie rekomendatsii. 2023. (In Russ.). Accessed November 25, 2024. https://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/stranica-pravlenija/klinicheskie-rekomendaci/urgentnaja-abdominalnaja-hirurgija/krovotechenie-iz-opuholi-zheludka-2023.html?ysclid=ltmsdihn7c125465075
Xiao N, Lewandowski RJ. Embolic Agents: Coils. Seminars in Interventional Radiology. 2022;39(1):113-118. https://doi.org/10.1055/s-0041-1740939
Tian L, Lu L, Feng J, Melancon MP. Radiopaque nano and polymeric materials for atherosclerosis imaging, embolization and other catheterization procedures. Acta Pharmaceutica Sinica. B. 2018;8(3):360-370. https://doi.org/10.1016/j.apsb.2018.03.002
Loffroy R, Chevallier O, Mazit A, Malakhia A, Midulla M. Amplatzer™ Vascular Plugs for Embolisation: A 10-Year Single-Centre Retrospective Study. Journal of Clinical Medicine. 2023;12(21):6790. https://doi.org/10.3390/jcm12216790
Lubarsky M, Ray CE, Funaki B. Embolization agents-which one should be used when? Part 1: large-vessel embolization. Seminars in Interventional Radiology. 2009;26(4):352-357. https://doi.org/10.1055/s-0029-1242206
Kavteladze ZA, Ermolaev PM. Endovascular occlusion devicies and technologies. Endovaskulyarnaya khirurgiya. 2022;9(4):309-331. https://doi.org/10.24183/2409-4080-2022-9-4-309-331
Lee S, Ghosh A, Xiao N, Gordon AC, Heidarpour N, Funaki B, Lewandowski RJ. Embolic Agents: Particles. Seminars in Interventional Radiology. 2023;40(3):315-322. https://doi.org/10.1055/s-0043-1769744
Medsinge A, Zajko A, Orons P, Amesur N, Santos E. A case-based approach to common embolization agents used in vascular interventional radiology. AJR: American Journal of Roentgenology. 2014;203(4):699-708. https://doi.org/10.2214/AJR.14.12480
Lubarsky M, Ray C, Funaki B. Embolization agents-which one should be used when? Part 2: small-vessel embolization. Seminars in Interventional Radiology. 2010;27(1):99-104. https://doi.org/10.1055/s-0030-1247891
Favard N, Moulin M, Fauque P, Bertaut A, Favelier S, Estivalet L, Michel F, Cormier L, Sagot P, Loffroy R. Comparison of three different embolic materials for varicocele embolization: retrospective study of tolerance, radiation and recurrence rate. Quantitative Imaging in Medicine and Surgery. 2015;5(6):806-814. https://doi.org/10.3978/j.issn.2223-4292.2015.10.10
Oklu R, Khademhosseini A, Weiss PS. Patient-Inspired Engineering and Nanotechnology. ACS Nano. 2015;9(8):7733-7734. https://doi.org/10.1021/acsnano.5b05000
Korchazhkina NB, Mikhaylova AA, Kovalev SA, Portnov VV, Rzhevskiy VS. Effectiveness of early rehabilitation techniques in programs of accelerated recovery of patients after surgical interventions. Fizioterapiya, bal’neologiya i reabilitatsiya. 2019;18(6):408-411. (In Russ.). https://doi.org/10.17816/1681-3456-2019-18-6-408-411
Korchazhkina NB. The third stage of medical rehabilitation in the conditions of sanatorium-resort organizations. Further development of sanatorium treatment after the provision of specialized, including high-tech medical care. Kurortnaya meditsina. 2013;3:69-72. (In Russ.).
Orekhova ÉM, Konchugova TV, Kulchitskaya DB, Korchazhkina NB, Egorova LA, Chuich NG. Modern approaches to the use of neurotropic physical therapy in arterial hypertension. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul’tury. 2016;93(3):53-55. (In Russ.). https://doi.org/10.17116/kurort2016353-55
Aronov M, Shevchenko NS, Amosova NA, Kotenko KV. Acute three-vessel cervical arterial occlusion due to spontaneous quadruple cervical artery dissection. BMJ Case Reports. 2014;2014:1-4.
Baza dannykh nauchnykh issledovanij po primeneniyu fizicheskikh faktorov v khirurgii. Mikhaylova AA, Kotenko KV, Korchazhkina NB, Bel’skaya NA, Kovalyov SA, Goryagin AO. Svidetel’stvo o registratsii bazy dannykh RU 2021621978, 16.09.2021. Zayavka №2021621880 ot 09.09.2021. (In Russ.).