ArticleRadiology case reports2024
Prophylactic splenic artery embolization using n-butyl-2-cyanoacrylate and coils prior to endoscopic necrosectomy in a patient with necrotizing pancreatitis: A case report.
Article in Radiology case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Super-Selective Embolization Using Flow-Directed Microcatheter and 0.010-inch Microwire for Type II Endoleak Following Thoracic Endovascular Aortic Repair: A Three-Case Report.Radiology case reports · 2026Article
- Embolization of splenic artery aneurysms using coils and n‑butyl 2-cyanoacrylate (NBCA) with a newly developed polytetrafluoroethylene (PTFE)-coated microcatheter: A case series of 3 patients.Radiology case reports · 2025Article
- Organ-preserving embolization of a giant splenic hemangioma in an adult.CVIR endovascular · 2024Article
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Authors and funding
6 authors.
Funding
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Abstract
We present a case of prophylactic endovascular embolization in a 51-year-old man with necrotizing pancreatitis (NP) before undergoing endoscopic necrosectomy (EN). Contrast-enhanced CT imaging revealed the presence of a walled-off necrosis (WON) surrounding the pancreas, with the splenic artery coursing through the cavity. The splenic artery was embolized using n-butyl-2-cyanoacrylate (NBCA) and coils to mitigate the risk of massive bleeding in EN. A newly developed polytetrafluoroethylene (PTFE)-coated microcatheter was used to inject NBCA, enabling embolization of a long segment of the splenic artery without adhering to the vessel wall. Coils were placed distal and proximal to the embolized segment to optimize control. Over 5 sessions of EN, no massive bleeding was encountered. This report demonstrates the benefits of utilizing PTFE-coated microcatheters for enhanced safety and maneuverability during embolization with NBCA. Furthermore, it highlights the importance of prophylactic embolization during EN for managing NP.
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