Renoparenchymal Hypertension - Embolisation Treatment

Professor P. Bosnjakovic
Institute of Radiology Clinical Centre, Nis, Serbia & Montenegro

Patient History

  • Male patient with hypertension, poorly controlled and on medication therapy.
  • Non-functional left kidney.

Procedure

  • Left kidney embolised using 2ml Bead Block.
Bead Block Case 7 fig 1

Left kidney pre-embolisation

Bead Block Case 7 fig 2

Left kidney post-embolisation

Outcome

  • Ultrasound (i) shows significantly reduced kidney size.
  • Angiogram (ii) shows reduced diameter of the left renal artery.
Bead Block Case 7 fig 3

i. One month post-embolisation

Bead Block Case 7 fig 4

ii. Two months post-embolisation

Clinical Outcome

  • Hypertension controlled well with one-third of medication compared with dose required pre-intervention.

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