The Beauty and Bane of Pressure-Directed Embolotherapy: Hemodynamic Principles and Preliminary Clinical Evidence

AJR Am J Roentgenol. 2019 Mar;212(3):686-695. doi: 10.2214/AJR.18.19975. Epub 2018 Dec 27.

Abstract

Objective: Particulate emboli are passive agents that follow blood flow. Deployed antireflux devices obstruct blood flow.

Conclusion: The aim of this review is to describe the complex hemodynamic alterations to blood flow caused by the deployment of antireflux devices and the resulting changes to embolic distribution. The therapeutic goal is optimization of embolization safety and efficacy.

Keywords: antireflux devices; embolic distribution; hemodynamic alterations; particulate emboli; temporary balloon occlusion; transarterial chemoembolization; transarterial radioembolization.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiography
  • Balloon Embolectomy
  • Embolization, Therapeutic / instrumentation*
  • Equipment Design
  • Hemodynamics
  • Humans
  • Vascular Access Devices