Is the shift toward "liquid embolic" agents finally making traditional metal coils a thing of the past?

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The landscape of the vascular embolization market is currently undergoing a massive transformation as interventionalists move away from traditional platinum coils in favor of next-generation liquid embolic agents. For years, coiling was the gold standard for treating aneurysms and vascular malformations, but it often required dozens of tiny coils to achieve a full seal. Today, advanced non-adhesive liquids like Onyx and new "in-situ" gelling polymers are allowing doctors to fill complex, irregular vascular spaces with a single injection. This transition is not just about speed; it is about precision, as these liquids can reach deep into the "nidus" of a malformation that physical coils simply cannot touch, significantly reducing the risk of a recurrence.

This momentum is being further accelerated by the integration of "bioabsorbable" embolic materials. Rather than leaving a permanent foreign object in the body, these new materials provide a temporary scaffold that triggers the body’s natural healing process before safely dissolving over several months. In the field of oncology—specifically for treating liver tumors—this is a game-changer, as it allows for repeated treatments without "caging" the vessel permanently. As these materials become more sophisticated, the focus is shifting from simple mechanical blockage to "active" healing, where the embolic agent itself can deliver targeted chemotherapy or localized radiation directly to a tumor site.

Do you think that "temporary" bioabsorbable implants will eventually replace permanent coils for most vascular procedures?

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