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Embolization — Principles, Embolic Agents & Applications

Interventional Radiology · Cochin Hospital AP-HP · Paris

📖 Educational

Embolization — Principles & Applications in Interventional Radiology

Coils · Particles · Glue · Fibroids · Prostate · Varicocele · Tumours · Local anaesthesia · Paris

📖 Embolization — overview

Embolization is one of the most versatile techniques in interventional radiology. A catheter inserted through the skin (usually at the groin) is guided to the target blood vessel under X-ray. Embolic agents are then injected to deliberately block it — stopping blood supply to a tumour, controlling haemorrhage, or treating vascular abnormalities.

Key advantages: no incision, local anaesthesia, same-day discharge in most cases. Embolization has replaced or supplemented surgery in many clinical scenarios, with equivalent efficacy and significantly lower morbidity.

🔧 Embolic agents

🔩 Metallic coils

Platinum or steel micro-coils deployed to thrombose target vessels. Used for varicocele, aneurysms, pre-operative bone tumour embolization.

⚪ Calibrated microspheres

Precisely sized polymer spheres (100–900 µm). Used in fibroid embolization, prostate artery embolization, TACE.

💊 Drug-eluting beads (DEB)

Microspheres loaded with doxorubicin. Used in DEB-TACE for HCC.

🧪 Liquid agents (glue/Onyx)

Cyanoacrylate or Onyx for high-flow lesions, AVM, pelvic varicosities.

🔗 Related pages

→ Uterine fibroid embolization→ Prostate embolization→ Varicocele embolization→ TACE liver cancer

🇫🇷 French version: embolisation-definition.html