Endovascular Perforation
Endovascular Perforation - Related Videos
04:43
Induction of a Subarachnoid Hemorrhage in a Mouse Model through Endovascular Perforation
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2025
The video demonstrates the induction of subarachnoid hemorrhage via endovascular perforation in a mouse model. An incision is made in the neck region of the anesthetized mouse to access the common carotid artery and its bifurcation. A filament is inserted through the arteries to perforate an intracranial artery branch, inducing subarachnoid hemorrhage.
06:30
Endovascular Perforation Model for Subarachnoid Hemorrhage Combined with Magnetic Resonance Imaging (MRI)
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Cited by 8 •
2021
Here we present a standardized SAH mouse model, induced by endovascular filament perforation, combined with magnetic resonance imaging (MRI) 24 h after operation to ensure the correct bleeding site and exclude other relevant intracranial pathologies.
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Cited by 4 •
2017
Surgery is the gold standard for accessible arteriovenious malformations (AVMs), and pre-operative embolization can simplify this procedure. We describe our approach for staged endovascular embolization and open resection of AVMs, and provide a representative clinical example highlighting the advantages of a comprehensively trained neurovascular surgeon leading a multi-disciplinary clinical team.
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
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Cited by 3 •
2013
Histological and biochemical modifications after aneurysm endograft exclusion are still unclear. We describe a new model of endograft implantation on a murine aneurysm. Through thrombus analysis with and without persistant circulating blood stream interface, and new endovascular biomaterials evaluation, this model will help to better understand endovascular aneurysm exclusion pathobiology.
01:22
Esophageal Perforation-I: Introduction
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2025
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks. The location of esophageal perforation can vary, occurring anywhere along the esophagus.
FAQs
Several procedural forces can injure the vessel wall: guidewire or catheter manipulation, balloon dilation, stent deployment, and excessive intravascular pressure. Risk therefore relates not to a single device but to how instrumentation and pressure interact with the vessel during treatment. Recognizing these mechanisms helps clinicians anticipate perforation while planning and performing endovascular interventions.
The clinical significance depends on whether the breach remains small and contained or progresses to uncontrolled hemorrhage. That distinction reflects the extent of vessel-wall injury and the amount of blood or contrast escaping into surrounding tissue. Severity assessment is important because it determines how urgently the team must act and which rescue option is appropriate.
Angiography is central to detecting endovascular perforation because it can demonstrate escape of contrast material from the vessel. Prompt imaging helps identify the complication during or after the intervention, when treatment can still be directed toward limiting further loss. In practice, angiographic assessment connects recognition of vessel injury with timely selection of a corrective strategy.
Management is tailored to the injured vessel and the severity of the perforation. Prolonged balloon inflation may be used to control the breach, while covered-stent placement or embolization provides alternative ways to address the leak. Surgical repair remains another option when endovascular measures are unsuitable or insufficient, so no single treatment fits every case.
The immediate priorities are prompt angiographic detection, assessment of the injury, and selection of a method to limit escape. Depending on the findings, clinicians may maintain balloon inflation, deploy a covered stent, perform embolization, or proceed to surgical repair. This response links rapid confirmation with treatment matched to vessel location and injury severity.
Although it is a procedural complication, its consequences can extend into surrounding tissue through blood or contrast escape and may range from a contained injury to uncontrolled hemorrhage. Studying this event supports safer procedural planning, faster recognition, and improved outcomes in vascular medicine. It also emphasizes preparedness for both endovascular and surgical rescue.