First EasyX Case report in Nicosia General Hospital, Cyprus
A 64-year Old patient presented to the nephrostomy department of Nicosia General Hospital with chronic allograft nephropathy and elevation of the inflammatory markers due to acute rejection of the non-functioning renal transplant.
After clinical examination and review of the patient’s History and laboratory values, an embolization of the non-functioning renal transplant in the (Rt) iliac fossa was performed in the interventional radiology sector of Nicosia General Hospital from Dr. Nektarios Poullos (Interventional Radiologist, Head of Interventional Radiology Sector of Nicosia General Hospital, Cyprus).
After selective catheterization of the main renal arteries of the renal transplant in the right iliac fossa with vertebral catheter, a super selective embolization of the renal transplant segment arteries with liquid emolic material (EasyX) and retractable platinum coils via microcatheter in the proximal region of the main renal arteries was successfully performed.
In this first use, I found it beneficial that the embolic liquid did not need any preparation, saving time during the embolization, and the microcatheter was moved inside the embolic liquid without being clogged.
The Patient was stable after the procedure without any major complications, except from local pain for a short time in the context of post-embolic syndrome.
Dr. Nektarior Poullos
Head of Interventional Radiology Sector
Nicosia General Hospital
31. January 2021
A milestone reached EASYX I trial closed successfully
COVID-19 has created challenges in every aspects of healthcare. Due to the current pandemic, the medical device industry has been under tremendous pressure to deliver and innovate. Second most disturbing evolution is the fact, that COVID-19 pandemic has delayed clinical trials and disrupted the CE mark or FDA product submissions what resulted in prolonged product approval timelines.
Qmedics and their KOL managed to close the clinical trial “EASYX I “
Thanks to the fast enrolment of EASYX I trail coordinated by Prof. MD. M. Sapoval supported by the two investigators MD. R.Loffroy and MD. V.Vidal the trial didn’t have any delay due to the COVID -19 pandemic.
Furthermore, the EASYX I article is submitted to JVIR.
Qmedics is happy to share some insides,
Safety and Efficacy of Peripheral Embolization with EASYX™ liquid agent: a multicenter prospective study
EASYX 1 study
Rationale and Objectives: The objectives of this prospective multicentric study was to evaluate the safety and efficacy of EASYX™, a new liquid embolic agent consisting in PVA grafted with iodine molecules for peripheral embolization.
Patients and Methods: We conducted an open-label prospective multicentric study, on 50 consecutive patients in 3 academic hospitals. Indication for embolization was symptomatic varicocele (n = 15), angiomyolipoma
(AML; n = 2), type 2 endoleak (n = 8), acute bleeding (n = 16), or portal vein embolization (PVE; n = 9). Patient characteristics, technical and clinical success, pain at injection and IR satisfaction were assessed. Follow-up imaging was performed using ultrasound for varicoceles (1 month) and CT-scan for the other indications (3 or 6 months).
Results: In this prospective multicenter study, promising results using EASYX™ for embolization in various clinical situations were reported. The results reflect the global satisfaction of the IRs while using the device. The fact that EASYX™ is a ready-to-use device was one positive feature, allowing potentially faster intervention in contrast to need for 20 minutes shaking required before injection for other copolymers such as Onyx or Squid use. This aspect can be advantageous when a very rapid administration is necessary, especially for acute bleeding patients.
Immediate technical success was obtained in 49 (98%) of the 50 patients and IR satisfaction was >90% for EASYX™ ease of use, ease of injection, cohesivity and overall angiographic results
Clinical success was 100 % for acute bleeding and type 2 endoleak embolization with absence of artifacts on imaging allowing monitoring of the aneurysmal sac in patients treated for type 2 endoleak.
We reported > 98% technical success and 100% clinical success on imaging follow-up at 6 months, with no complication, for type II endoleaks embolization, which is better than the results mostly reported
Clinical success was 85.7 % in patients presenting with varicocele. PVE patients showed a significant hypertrophy of future remnant liver at
FU (p < 0.001) and 5/9 patients could undergo preplanned hepatectomy. IR satisfaction was > 90 % for EASYX™ ease of use, ease of injection, cohesivity and overall angiographic results.
We also described a good efficacy of embolization for painful varicoceles with a drastic decrease of the VAS score
The absence of artifacts on CT allowed precise measurement of the sac and evaluation of persistent endoleak during follow-up, which is very helpful for optimal surveillance of the aneurysm
Conclusions: In conclusion, the uses of EASYX™ as the main liquid embolic agent for embolization was safe and efficient . The safety and performance results of EASYX™ were more than satisfactory in this initial prospective multicenter trial. Absence of CT imaging artifacts (no tantalum powder in the device) allowed optimal follow-up of type II endoleaks, representing a major advantage over other liquid embolic agents.