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Published in: Japanese Journal of Radiology 4/2014

01-04-2014 | Special Report

Guidelines on the use of gelatin sponge particles in embolotherapy

Authors: Shiro Miyayama, Koichiro Yamakado, Hiroshi Anai, Daisuke Abo, Tetsuya Minami, Haruyuki Takaki, Taishi Kodama, Takashi Yamanaka, Hideyuki Nishiofuku, Kengo Morimoto, Takeshi Soyama, Yu Hasegawa, Koichi Nakamura, Tomoaki Yamanishi, Morio Sato, Yasuo Nakajima

Published in: Japanese Journal of Radiology | Issue 4/2014

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Abstract

Gelatin sponge (GS) is one of the most widely used embolic agents in interventional procedures. There are four commercially available GS products in Japan; however, the endovascular use of Gelfoam and Spongel is off-label, and Gelpart can only be used for hepatic artery embolization and Serescue can only be used for hemostasis of arterial bleeding. GS has been used for a variety of clinical indications, mainly tumor embolization and stopping massive arterial bleeding. The optimal size and preparation procedure of GS particles differs slightly for each clinical indication. In addition, there is a risk of ischemic and/or infectious complications associated with GS embolization in various situations. Therefore, radiologists should be familiar with not only the preparation and handling of GS particles, but also the disadvantages and potential risks, in order to perform GS embolization safely and effectively.
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Metadata
Title
Guidelines on the use of gelatin sponge particles in embolotherapy
Authors
Shiro Miyayama
Koichiro Yamakado
Hiroshi Anai
Daisuke Abo
Tetsuya Minami
Haruyuki Takaki
Taishi Kodama
Takashi Yamanaka
Hideyuki Nishiofuku
Kengo Morimoto
Takeshi Soyama
Yu Hasegawa
Koichi Nakamura
Tomoaki Yamanishi
Morio Sato
Yasuo Nakajima
Publication date
01-04-2014
Publisher
Springer Japan
Published in
Japanese Journal of Radiology / Issue 4/2014
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-014-0292-2

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