Liquid embolic agents - Onyx as problem solver

Wohlgemuth, W. A. and Uller, W. and Mueller-Wille, R. (2013) Liquid embolic agents - Onyx as problem solver. RADIOLOGE, 53 (3). pp. 223-229. ISSN 0033-832X, 1432-2102

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Abstract

Liquid embolic agents are used for permanent occlusion of capillaries but optimal administration properties are lacking. The lack of visualization by fluoroscopy and the risk of serious complications are disadvantages of conventional embolic agents, such as ethanol and Histoacryl. Onyx is a liquid embolic agent consisting of ethylene vinyl alcohol copolymer dissolved in various concentrations of dimethyl sulfoxide (DMSO) and suspended micronized tantalum powder to provide contrast for fluoroscopy. The physicochemical characteristics of Onyx allow controlled application, forming a defined cast and permanent occlusion. Disadvantages are the high costs. Furthermore, the solvent DMSO requires special catheter material and causes pain during Onyx application. Onyx has been primarily used for interventional neuroradiological treatment but peripheral applications are becoming increasingly more common. Currently, Onyx is mainly used for embolotherapy of endoleaks after endovascular aortic aneurysm repair, for treatment of acute arterial bleeding and for treatment of arteriovenous malformations.

Item Type: Article
Uncontrolled Keywords: VINYL-ALCOHOL-COPOLYMER; II ENDOLEAKS; EMBOLIZATION; MALFORMATIONS; Embolization materials; Neuroradiological indications; Peripheral vascular system; Vascular malformation; Interventional therapy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 23 Apr 2020 12:01
Last Modified: 23 Apr 2020 12:01
URI: https://pred.uni-regensburg.de/id/eprint/17064

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