Table 2.
Embolic agent | Advantages | Limitations |
---|---|---|
PARTICLES | ||
PVA | Microvasculature penetration | Radiolucent |
Easy to use | Irregular shapes may allow recanalization | |
Microspheres | Microvasculature penetration | Fragile |
Minimal clumping | Many are radiolucent | |
Gelfoam | Medium to large vessel occlusions | Temporary |
Inexpensive, easy to use | ||
LIQUID AGENTS | ||
nBCA | Rapid solidification and occlusion | Rapid solidification |
Can flow into complex angioarchitecture | Catheter retainment | |
Onyx | Slower solidification | Catheter retainment |
Can flow into complex angioarchitecture | ||
COILS | ||
Coils | Precise deployment | Possible dislodgement and embolization |
Useful in high-flow vessels |