Large sinonasal tumor supplied by bilateral internal maxillary and right ascending pharyngeal arteries. Bilateral carotids + vertebrals angiogram
followed by selective bilateral IMA and right ascending pharyngeal embolization using 350–500 µm particles and Swift coils.
Access Set-Up: BENCHMARK071 95 cm, ACCESS25 Delivery Microcatheter, Terumo Neuro Headway DUO 156 cm. Devascularization was achieved before surgery without reflux or nontarget
embolization.
Coil sequence: POD400 3 mm √ó 20 cm, (3) PAC400 60 cm, PAC400 40 cm, SwiftSET Coil 1 mm √ó 5 cm, (2) SwiftPAC Coils 3 cm‚Äã
Neuro Embolization
Tumor Embolization
SwiftSET Coil
Dr. Robert Starke
University of Miami Health System, FL



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Images used with permission and provided for illustrative purposes only. Procedural techniques and decisions based on physician’s medical judgment. Individual results may vary. Consents on file at Penumbra, Inc.

