Guidelines on diagnosis and management of acute pulmonary embolism. Task Force on Pulmonary Embolism, European Society of Cardiology.
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In 25 patients with meningiomas, the tumours were embolised with liquid embolising materials following angiography. Nine subselective flow-guided Ethibloc embolisations were performed, four selective Ethibloc embolisations and 16 selective Histoacryl embolisations. The physical properties and pathophysiological behaviour make liquid embolising materials superior to particles. The use of micro-catheter systems introduced as far as possible into the feeding vessels makes Histoacryl embolisation an uncomplicated, effective and painless method for obliterating the vascular bed of the tumour.
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The effects of long-term occlusion of branches of the celiac and renal arteries were studied in 13 pigs, using isobutyl 2-cyanoacrylate (ibc), the Gianturco-Anderson-Wallace wool coil, and lvalon. IBC permanently occluded 2- to 8-cm lengths of both vessels, including their branches so that collateral circulation was not able to preserve the tissue supplied by the occluded artery. Gastric ulcers, splenic and hepatic infarcts, and large, sterile biliary cysts were observed on postmortem examination. Permanent occlusion was also observed with the wool coil and lvalon, but the pathological results were much less deleterious. The authors conclude that IBC is presently unsafe for use in branches of the celiac artery.
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Transesophageal echocardiography and contrast-enhanced spiral CT of the chest helped to avoid a pulmonary angiography in an elderly patient with saddle pulmonary thromboembolism and allowed for direct evaluation of its resolution during treatment with subcutaneous low molecular weight heparin.
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