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Use of a Fogarty Occlusion Balloon During Splenic Artery Embolization to Prevent Distal Coil Migration 

Use of a Fogarty Occlusion Balloon During Splenic Artery Embolization to Prevent Distal Coil Migration
Chapter:
Use of a Fogarty Occlusion Balloon During Splenic Artery Embolization to Prevent Distal Coil Migration
Author(s):

S. Lowell Kahn

DOI:
10.1093/med/9780199986071.003.0026
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date: 29 January 2020

Splenic embolization has become a mainstay of therapy in the setting of splenic trauma for patients not requiring urgent surgery. This chapter describes a simple balloon occlusion technique to facilitate proximal embolization of the target splenic artery. Although the example presented is for a splenic artery, the technique may be extrapolated for other embolization procedures. Briefly, an occlusion balloon is delivered and supported proximally in the splenic artery, ideally distal to the dorsal pancreatic artery. After inflation of the occlusion balloon, the guidewire is removed and embolization is performed with standard 0.035-in. coils. This method allows for a dense packing of the coils and the use of fewer coils to obtain vascular stasis.

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