Kidani Naoya, Hirotsune Nobuyuki
Department of Neurosurgery and Neuroendovascular Treatment, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Hiroshima, Japan.
J Neuroendovasc Ther. 2025;19(1). doi: 10.5797/jnet.ra.2024-0055. Epub 2024 Oct 17.
Various types of embolic substances are used in endovascular therapy, and understanding their characteristics, including shape and kinetics, is essential for proper use. Cyanoacrylate is a typical liquid embolization agent that can be applied to many cerebral neurovascular lesions. It is injected as a mixture with ethiodized oil to provide radiopacity and regulate the polymerization rate. This review describes the characteristics, action mechanisms, techniques of use, and potential pitfalls of using cyanoacrylate-ethiodized oil mixtures for embolization.
血管内治疗中使用了多种类型的栓塞物质,了解它们的特性,包括形状和动力学,对于正确使用至关重要。氰基丙烯酸酯是一种典型的液体栓塞剂,可应用于许多脑神经系统血管病变。它与乙碘油混合注射,以提供射线不透性并调节聚合速率。本综述描述了使用氰基丙烯酸酯 - 乙碘油混合物进行栓塞的特性、作用机制、使用技术和潜在陷阱。