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Embolization
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==Uses== Embolization involves the selective [[Vascular occlusion|occlusion]] of [[blood vessel]]s by purposely introducing [[Embolus|emboli]], in other words deliberately blocking a blood vessel. Embolization is used to treat a wide variety of conditions affecting different organs of the human body. Embolization is commonly used to treat active arterial bleeding. Embolization is rarely used to treat venous bleeding as venous bleeding can stop on its own or with packing or compression.<ref name="pmid21359011">{{cite journal |vauthors=Lopera JE |title=Embolization in trauma: principles and techniques |journal=Seminars in Interventional Radiology |volume=27 |issue=1 |pages=14β28 |date=March 2010 |pmid=21359011 |pmc=3036510 |doi=10.1055/s-0030-1247885 |url=}}</ref><ref name="pmid21035357">{{cite journal |vauthors=Anchala PR, Resnick SA |title=Treatment of postoperative hemorrhage with venous embolization |journal=Journal of Vascular and Interventional Radiology |volume=21 |issue=12 |pages=1915β7 |date=December 2010 |pmid=21035357 |doi=10.1016/j.jvir.2010.09.012 |url=}}</ref> === Bleeding === The treatment is used to occlude: * Recurrent [[hemoptysis|coughing up of blood]] * [[Cerebral aneurysm]]<ref name="pmid28959469">{{cite journal | vauthors = Jiang B, Paff M, Colby GP, Coon AL, Lin LM | author-link4=Alexander L. Coon | title = Cerebral aneurysm treatment: modern neurovascular techniques | journal = Stroke and Vascular Neurology | volume = 1 | issue = 3 | pages = 93β100 | date = September 2016 | pmid = 28959469 | pmc = 5435202 | doi = 10.1136/svn-2016-000027 }}</ref> * [[Gastrointestinal bleeding]] * [[Epistaxis|Nosebleed]] * [[Varicocele]] * Primary [[post-partum bleeding]]<ref name="pmid18460450">{{cite journal | vauthors = Chauleur C, Fanget C, Tourne G, Levy R, Larchez C, Seffert P | title = Serious primary post-partum hemorrhage, arterial embolization and future fertility: a retrospective study of 46 cases | journal = Human Reproduction | volume = 23 | issue = 7 | pages = 1553β1559 | date = July 2008 | pmid = 18460450 | doi = 10.1093/humrep/den122 | doi-access = free }}</ref> * [[Surgical bleeding]]<ref name="Persistent haemarthrosis_GR2010">{{cite journal | vauthors = Whittingham-Jones P, Baloch I, Miles J, Ferris B |title = Persistent haemarthrosis following total knee arthroplasty caused by unrecognised arterial injury | journal = Grand Rounds | volume = 10 | pages = 51β54 | year = 2010 | doi = 10.1102/1470-5206.2010.0010 |url = http://www.grandroundsjournal.com/articles/gr100010 |url-status = live |archive-url = https://web.archive.org/web/20101024001353/http://www.grandrounds-e-med.com/articles/gr100010.htm |archive-date = 2010-10-24 |doi-broken-date = November 1, 2024 }}</ref> * Traumatic bleeding such as [[splenic rupture]] or [[pelvic fracture]] ===Growths=== The treatment is used to slow or stop blood supply thus reducing the size of the tumour: * [[Kidney lesions]] * [[Liver lesions]], typically [[hepatocellular carcinoma]] (HCC). Treated either by particle infarction or [[transcatheter arterial chemoembolization]] (TACE). * [[Uterine fibroid]]s * [[Arteriovenous malformation]]s (AVMs) * [[Arteriovenous fistula]] * Juvenile [[Nasopharyngeal Angiofibroma]] ===Malignant hypertension=== It could be useful for managing [[malignant hypertension]] due to end stage [[kidney failure]].<ref name="pmid23984264">{{cite journal | vauthors = Alhamid N, Alterky H, Othman MI | title = Renal artery embolization for managing uncontrolled hypertension in a kidney transplant candidate | journal = Avicenna Journal of Medicine | volume = 3 | issue = 1 | pages = 23β25 | date = January 2013 | pmid = 23984264 | pmc = 3752858 | doi = 10.4103/2231-0770.112791 | doi-access = free }}</ref> ===Other=== * [[Portal vein embolization]] prior to liver resection.<ref name="pmid12235336">{{cite journal | vauthors = Madoff DC, Hicks ME, Vauthey JN, Charnsangavej C, Morello FA, Ahrar K, Wallace MJ, Gupta S | display-authors = 6 | title = Transhepatic portal vein embolization: anatomy, indications, and technical considerations | journal = Radiographics | volume = 22 | issue = 5 | pages = 1063β1076 | date = 2002 | pmid = 12235336 | doi = 10.1148/radiographics.22.5.g02se161063 | doi-access = free }}</ref>
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