Intervensi Pada Pembuluh Darah (Embolisasi)

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INTERVENSI

PADA PEMBULUH DARAH

(EMBOLISASI)
Cathlab PJT RSCM 2017
PEMBULU
H
DARAH

MENYEMPIT MELEBA BERLEBIH /


R ABNORMAL

REKANALI
ANGIOPLASTI
S ASI (EVAR EMBOLISASI
(PTA)
/ TEVAR)
Cathlab PJT RSCM 2017
EMBOLISASI
MEMASUKAN EMBOLAN  MENUTUP PEMBULUH DARAH

MENCEGAH
PERDARAHAN SAAT
OPERASI / BEDAH

MENUTUP PERDARAHAN
AKUT / KRONIK

MENUTUP SALURAN /
PEMBULUH DARAH
ABNORMAL ; AVM, FISTULA,
ANEURISMA

Cathlab PJT RSCM 2017


Figures 2A-2B: AP radiograph
of the left elbow of a 70-year-
old man with a metastatic renal
cell carcinoma of the olecranon
(A). Pre-embolization
angiography showed 3 feeding
vessels originating from the
median (1) brachial, (2) and
ulnar
(3) artery
Cathlab PJT(B).
RSCM 2017
1. Standard
COIL / VASCULAR alcohol (PVA)
polyvinyl
PLUG 2.Trisacryl gelatin
DISTA microspheres
GELFOAM L 3.Gelfoam
PROKSIMAL
(CURASPONE®) MEKANIKAL (CURASPONE®)

DETACHABLE
BALOON (GOLD
BALL® )

HISTOACRYL ® LIQUIDS
LIQUIDS
OCLUSIVE / ETHANOL
SCLEROTING
CASTING
AGENTS
ON Y X ® AGENTS

Cathlab PJT RSCM 2017


Cathlab PJT RSCM 2017
Alat-alat
khusus
• Guiding catheter (Fargo, Multi Purpose, JR, Yashiro, dll)
• Micro catheter (Progreat, MABDTE, Cantata dll)
• Soft / micro wire (coronary wire, Hybrid)
• Y-Connector

http://www.bostonscientific.com/content/dam/bostonscientific/pi/portfolio-
group/resources/ProductCatalog/PE%20Catalog.pdf

Cathlab PJT RSCM 2017


Cathlab PJT RSCM 2017
Komplikasi
1. Target organ disfunction
2. Collateral (non-target) embolization
3. Penggunaan kontras dikaitkan dengan nephrotoksik
4. Resiko perdarahan dan tromboemboli pada area akses
5. Sindroma paska embolisasi (nyeri, demam, mual, muntah,
dan leukositosis karena iskemia atau infark pada organ yang
diemboli)

Cathlab PJT RSCM 2017


Cathlab PJT RSCM 2017

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