EMBOLIC AGENTS Flashcards
Temporary EAs period
Autologous Blood Clot
-2 wks
Gelfoam
-2mos - 4 mos
Oxycell
-4mos
ABC [mat]
Patient’s blood
ABC [Moa)]
10 cc blood from pt - sterile container - let it clot - aspiration - inject
ABC [and]
Lox cost and toxicity
Rapid lysis
ABC [indi]
Acute Gastric Hemorrhage - peptic ulcer
Gelfoam [mat]
Gelatin sponge
Gelfoam [moa]
Fragments and sheet - 44mm diameter; proximal
Gelfoam powder - 40-60 diameter;distal
Gelfoam [and]
Promotes blood clot
Rapid contamination of bacteria
Gelfoam [indication]
Control Hemorrhage
Oxycell [mat]
Cotton like mat oxidized cellulose
Oxycell [moa]
Cut into fragments-introduce to vessel
Oxycell [adv]
Makes clot firmer when added with blood
Oxycell [indi]
Control Hemorrhage
Ivalon PVA sponge [mat]
Biologically inert pva sponge-expandable and compressible 100-200um
Ivalon - PVA sponge [moa]
Invaded by fibroblast amd with with dense connective tissue forming around sponge
Ivalon PVA Sponge [disadv]
Cumbersome and high injection pressure
Ivalon PVA Sponge [indi]
Ideal for AVM
Microspheres/embospheres [mat]
Stainless steel, acrylic, silicone
Microspheres/embospheres [mat]
Stainless steel
Acrylic
Silicone
Microspheres/embospheres [moa]
Introduced thru catheter and advanced to vessel
Microspheres/embospheres [and]
Easy to fuoroscope
Irreversible
Microspheres/embospheres [indi]
Hypervascular tumor