Vessel Occlusion with Transcatheter Electrocoagulation

Transcatheter intravascular electrocoagulation for therapeutic occlusion of vessels has been experimentally developed and successfully used clinically as an alternative to, and in conjunction with, more routine methods of vessel occlusion. A constant current power source and a steelguide wire anode are used for the occlusion. The subject is grounded with a standard bovie plate insulated from the skin by a highly lubricated sponge. Permanent occlusion of strategic vessels at accurately controlled sites has been achieved with little risk of embolization of non-target areas. There has been minimal damage to vessel walls, and complete occlusion has been possible despite heparinization and/or thrombocytopenia. One limitation is the inconstant ability to position the anode precisely at the desired site of occlusion. Also, a long time may be required (up to one hour) to occlude larger vessels with presently available anodes. Wider use must await refinements in development of the anode material and in its delivery system.