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American Journal of Neuroradiology, Vol 9, Issue 3 547-550, Copyright © 1988 by American Society of Neuroradiology


ARTICLES

Platinum wire: a new transvascular embolic agent

PJ Yang, VV Halbach, RT Higashida and GB Hieshima
Department of Radiology, UCSF 94143.

Standard Gianturco and "mini" coils cannot be used with some of the present microcatheter systems. However, occasions arise in which metallic coils would be an ideal embolic agent in vascular structure accessible only to a tracker (2.2-French) catheter system. We performed nine embolization procedures in eight patients with arteriovenous fistulas using platinum coils as an embolic agent. Fistulas were completely occluded in six of the nine cases. In several cases, platinum wire embolization was augmented with other agents. Complications occurred in two cases, neither resulting in permanent neurologic deficits. Advantages of using platinum coils included availability, radioopacity, thrombogenicity, biocompatibility, and delivery through microcatheters, specifically the tracker catheter system.


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