Traditionally, gonadal vein embolization is done by placing coils 10-20% over sized compared to the target vein. Often 10 or more coils are required to treat a single vein. Each coil only treats a short segment of vein leaving other segments open. The "uncoil coil" technique utilizes large diameter longer coils allowing a gonadal vein to be treated with 2-3 coils. The procedure is faster, exposes the patient to less radiation and reduces the risk of maldeployment and migration.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.
Asymptomatic slowly enlarging internal iliac artery aneurysm
Endovascular repair of an anastomic stenosis of a aortobifemoral bypass graft using JetStream atherectomy