Effectiveness of platinum wire microcoils for venous occlusion: a study on patients treated for venogenic impotence.
The purpose of this study was to determine the effectiveness of venous occlusions achieved by embolization with platinum microwire coils. Follow-up venographies in 19 patients, 1-20 months (average 8 months) after coil embolizations, were evaluated. Twenty-eight of 126 (22.2%) coil embolizations were found to be patent. Coils which had not formed or partially formed upon embolization had a patency/recanalization rate of 37.5% (12/32). Among coils which had formed nearly completely or completely only 16 of 95 (17%) showed venous patency. As coil embolization had been augmented by sclerotherapy in all patients, the effectiveness of long-term venous occlusion by platinum wire coils alone is probably lower than our figures indicate. We conclude that attention to complete or near-complete coil formation upon embolization appears to be critical to maximize long-term occlusive effects of platinum microcoils. Their effectiveness in general, however, is lower than anticipated.
Schild
H H
HH
Department of Diagnostic Radiology, University of Mainz Medical School, Germany.
Mildenberger
P
P
Kersjes
W
W
D000792:Angiography; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D007172:Erectile Dysfunction / Q000209:etiology / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000628:therapy; D010984:Platinum; D015911:Sclerotherapy; D013499:Surface Properties; D014654:Vascular Patency; D014680:Veins
D010984:Platinum