Pre-operative Embolisation Using Bead Block

Professor A. Tournade
Neuroradiology Department Hôpitaux Civils de Colmar, Hôpital Pasteur, Colmar, France

Patient History

  • A 58-year-old woman with right hemiparesia.

Bead Block Case 5 fig 1 Bead Block Case 5 fig 2
CT scan slices with intense enhancement in the bulk of the tumoural mass

Procedure

  • Pre-operative embolisation was performed using 100-300μm Bead Block microspheres via a Balt Marco 18, and a Terumo GT16.

Outcome

  • Operation was carried out one day after the embolisation with no blood deperdition.

Clinician Comment

From a physician’s point of view: “Bead Block particles allow very distal and complete devascularision of the nidus of the tumour itself.”

From a surgical point of view: “The embolisation realised in this way is absolute and very rapidly effective”.

Professor A. Tournade
Hôpitaux Civils de Colmar, Hôpital Pasteur
Colmar, France

Hyperselective catheterisation of the middle meningeal artery

Bead Block Case 5 fig 3 Bead Block Case 5 fig 4
Hypervascularisation with typical radial vessels

Bead Block Case 5 fig 5
Very distal and selective devascularisation of the tumour respecting the main vessel itself

Regulatory notices and product safety data

Worldwide (excluding USA)

Bead Block™ is CE marked and indicated for the treatment of a variety of hypervascular tumours (including Uterine Fibroids) and arteriovenous malformations (AVMs). Bead Block™ may not be indicated for the treatment of Uterine Fibroids in your country, please check with your local distributor. For full prescribing information please refer to Bead Block instructions for use.

USA

Bead Block is intended to be used for the embolization of hypervascular tumors and arteriovenous malformations (AVMs)

Bead Block Cautions:

  • Do not use if the syringe or packaging appear damaged
  • Sterile and single use product.  Do not reuse
  • Select the size and quantity of Bead Block microspheres appropriate for the pathology to be treated
  • Embolization with Bead Block microspheres should only be performed by physicians who have received appropriate interventional occlusion training in the region intended to be embolized

For instructions for use, please refer to www.biocompatibles.com/beadblock-ifu

Bead Block Potential Complications:

  • Undesirable reflux or passage of Bead Block into normal arteries adjacent to the targeted lesion or through the lesion into other arteries or arterial beds, such as the internal carotid artery, pulmonary, or coronary circulations
  • Pulmonary embolization
  • Ischemia at an undesirable location
  • Capillary bed saturation and tissue damage
  • Ischemic stroke or ischemic infarction
  • Vessel or lesion rupture and haemorrhage
  • Neurological deficits including cranial nerve palsies
  • Vasospasm
  • Death
  • Recanalization
  • Foreign body reactions necessitating medical intervention
  • Infection necessitating medical intervention
  • Clot formation at the tip of the catheter and subsequent dislodgement