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What is AZUR hydrocoil and how does it work?
Craig R Greben
Department of Radiology, Hofstra North Shore LIJ School of Medicine, USA
The HydroCoil is a hybrid hydrogel polymer/platinum coil that has the property of volumetric swelling with
time. The microporous expandable hydrogel is biologically inert and provides scaffolding for natural tissue
proliferation. It expands when introduced into the bloodstream, delivering greater filling and mechanical
occlusion. The hydrogel coating undergoes limited expansion within the first 3 minutes, allowing safe retraction
and repositioning of the embolic reducing the risk of non-target embolization and coil migration, and fully expands
within 20 minutes. In concert, these elements provide a uniquely stable and permanent platform for blood stasis,
thrombus organization, and neointima formation. The controlled detachment system offers a whole new level of
control, making it ideal for high-flow areas and challenging vascular anatomy. Originally intended and used for
intracranial aneurysms, it has been modified for peripheral use. We will demonstrate some key areas where this
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technology is especially helpful to the peripheral interventionist.
After completing college at Emory University and medical school at New York Medical College, Craig Greben
completed a surgical internship at Emory University; and diagnostic radiology residency at Westchester County
Medical Center. Dr. Greben then fulfilled a Vascular and Interventional Radiology Fellowship in 1997 at The
New York Hospital and The Memorial Sloan Kettering Cancer Center in New York City. Dr. Greben became
an attending physician at the North Shore University Hospital in Manhasset, New York, and in 2001 became
Chief of the Division of Interventional Radiology. His main interests are in endovascular therapies, particularly
embolization, and interventional oncology.
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AZUR coil case presentation
Jose Ignacio Bilbao
Department of Radiology, Clinica Universidad de Navarra, ESP
The use of coil embolization, a less-invasive treatment option for a variety of conditions in the visceral and
peripheral vasculature, such as haemorrhage, aneurysms, pseudoaneurysms, vascular abnormalities, protection
before radioembolization,...is a common application in the Interventional Radiology practice. However, some
clinical problems have been associated with its use, including coil migration, non target embolization, compaction,
and collateral vascularization, which may lead to further invasive and non invasive procedures, additional risk
to patients and increased costs. Issues contributing to these clinical problems include inadequate filling of the
vascular space and difficulty in coil placement.
AZUR Peripheral HydroCoil provides to the I.R. coiling practice with different advantages as a perfect liberation
and placement control, the mechanical occlusion, increased healing, lower recurrence rates, and the use of fewer
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coils for procedures.
We present our current experience with AZUR Peripheral Hydrocoil in renal artery aneurysms as well as for
protection of non-tumoral territories before radioemboloization.
Prof. Bilbao graduated from the School of Medicine in the University of Navarra and carried out his residency
(1980-1984) and completed his PhD (1988) in Clinica Universidad de Navarra. Prof. Bilbao has been chairman
of the Dpt. of Radiology (1998-2004). He is member of various national and international societies. He is founder
and past-President of the Spanish Society of Interventional Radiology. He is member of the Executive Council of
the European Society of Radiology, Co-Chairman of CIRSE 2004 and 2010 Congresses and Member of the CIRSE
Executive Committee (2000-2008) and he is President of the European Congress of Radiology (ECR 2013).
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 Satellite Symposium Luncheon Seminar

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Next generation of coils: Getting rid of metal The role of IVR-CT in interventional radiology
― The Singapore General Hospital experience

Jean-Pierre Pelage Kiang Hiong Tay

Hospital Ambroise Pare, FRA Department of Diagnostic Radiology, Singapore General Hospital, SGP

IVR-CT is a hybrid interventional suite comprising a full fledge angiography machine coupled to a CT scanner
where the patient couch/table is common/shared by both the angiography machine and CT scanner. The concept
was developed in the early 1990s in Japan mainly for performing superselective TACE for HCC treatment.
Although it is widely available in Japan, there are very few installations in the rest of the world.
Our Interventional Radiology Centre acquired the IVR-CT in 2008 and it has expanded our capability in
performing more complex interventional procedures and enhancing procedural success and patient safety. During
the lecture, we will share our experience in using IVR CT for the various types of IR procedures. The use of IVR
CT in radioembolisation using Y90, bleeding GIT embolisation, bronchial embolisation and endoleak management
will be highlighted.
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Luncheon Seminar
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