Endovascular Embolization Overview

This is a procedure to fill and/or close blood vessels. This prevents bleeding and rupture. It is an alternative to open surgery.

Prior to Procedure

Your appointment before the surgery may include:

• Physical exam, blood and imaging tests

• Discussion of allergies, your medicines, recent illness or conditions, risks and benefits of the procedure

Also:

• Arrange for a ride home.

• The night before the procedure, do not eat or drink anything after midnight.

• Discuss your medicines with your doctor. You may be asked to stop taking certain medicines, such as:

• Anti-inflammatory drugs (NSAIDs)
• Anti-coagulants (blood thinners)

Women should let their doctor know if they are pregnant or planning to become pregnant.

Anesthesia

General anesthesia will be used. It will block any pain and keep you asleep through the surgery.

Description of the Procedure

The doctor will monitor your blood pressure, heart rate, and pulse. An IV will be placed in your arm for sedation and anesthesia. The nurse will shave and sterilize the groin area. The catheter will be inserted in this area.

The doctor will make a tiny incision in your groin area to access a vein. The catheter will be placed in the vein and threaded up to the site. A special dye will be given through the catheter. The doctor will be able to see the catheter pathway on a monitor. X-rays will help the doctor find the exact weakened or malformed area.

Once the catheter is in position, medicine, coils, or man-made material will be inserted into the catheter to the site. This will close or fill the blood vessel. Imaging tests will be done to make sure the blood vessels have closed.

Immediately After Procedure

The catheter and IV line will be removed. You will lie still for 6-8 hours.

How Long Will It Take?

30 minutes or longer—More complex procedures may take several hours.

How Much Will It Hurt?

Pain or soreness after the procedure can be managed with pain medicine.

Average Hospital Stay

This procedure is done in a hospital setting. The usual length of stay is two days. If you have any complications, you will need to stay longer.

Post-procedure Care

At the Hospital

• You will rest for several hours in bed.

• Your vital signs will be monitored.

At Home

You may return to regular activities within a week. When you return home, do the following to help ensure a smooth recovery:

• Rest for a few days.

• Clean the incision site with lukewarm water and mild soap. Use a soft wash cloth to gently wipe the incision area and keep it dry.

• Take medicine as directed.

• Engage in rehabilitative therapy as directed.

• Follow all of your doctor’s instructions.

RESOURCES:

The Brain Aneurysm Foundation
http://www.bafound.org/

National Institute of Neurological Disorders and Stroke
http://www.ninds.nih.gov/

CANADIAN RESOURCES:

Brain Injury Association of Alberta (BIAA)
http://www.biaa.ca/

Heart and Stroke Foundation Canada
http://ww2.heartandstroke.ca/splash/

References:

Center for Vascular Surgery (Hyman-Newman Institute for Neurology and Neurosurgery). Embolizations. Hyman-Newman Institute for Neurology and Neurosurgery website. Available at: http://neuro.wehealny.org/endo/proc_embolizations.asp . Accessed June 2, 2010.

Neff D. Brain Aneurysm. EBSCO Patient Education Reference Center. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16&topicID=1034 . Published May 1, 2010. Accessed June 2, 2010.

Radiological Society of North America. Catheter embolization. Radiological Society of North America website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=cathembol . Accessed June 2, 2010.

The Toronto Brain Vascular Malformation Study Group. Endovascular (Embolization) Treatment of aneurysms. The Toronto Brain Vascular Malformation Study Group website. Available at: http://brainavm.oci.utoronto.ca/malformations/embotreataneurysm_index.htm . Accessed June 2, 2010.