Vascular Anomalies Embolization Guidelines
Lipiodol® Ultra-Fluid (Iodinated ethyl esters of fatty acids of poppy seed oil) & N-butyl cyanoacrylate glue (NBCA) endorsed by international guidelines
Japanese Guidelines(6)
« The optimal volume, injection speed, and ratio of the NBCA-Lipiodol® mixture should be determined to facilitate successful vascular embolization. […] NBCA is radiolucent, and therefore, is usually mixed with radiopaque materials such as Lipiodol ®…»
« Lipiodol® is an oily contrast medium. Its generic name is ethyl ester of iodinated poppy-seed oil fatty acids. In Japan, it has been used during hysterosalpingography and lymphangiography. When NBCA is mixed with Lipiodol®, the NBCA becomes radiopaque, and its polymerization time is increased…»
American Guidelines(7)
« Cyanoacrylate glue is a liquid that may be mixed with Lipiodol® , an oily contrast agent, before injection. Mixing cyanoacrylate glues with Lipiodol® slows the rate of solidification, […] It also allows visualization of the injected varix on fluoroscopy. Various ratios of glue and Lipiodol® are used, ranging from 1:1 to 1:1.6.»
Consensus Guidelines -International Union of Angiology(8)
« […] NBCA is a clear free flowing adhesive liquid that will polymerize on contact with any ionic solution. NBCA must be combined with ethiodized oil to reduce the polymerization time and to add radiopacity. The more ethiodized oil used the slower the polymerization time…»
Clinical cases & Publications
Learn more about the clinical cases related to Vascular Embolization
Clinical Cases and Publications