Abstract | PURPOSE: MATERIALS AND METHODS: Retrospective review was undertaken of 14 patients undergoing transcatheter occlusion of the left subclavian (n = 12) or celiac artery (n = 2) with the AVP as part of EVAR of thoracic and thoracoabdominal aneurysms at a single institution. Procedural criteria evaluated were success at target vessel occlusion, the number of AVPs used, use of adjunctive embolization devices, and embolization-related ischemic end-organ events. Follow-up imaging criteria included evaluation of persistent target vessel occlusion, evidence of device migration, and the presence and characterization of endoleak secondary to AVP failure. RESULTS: Complete target vessel occlusion was documented for all cases. In six cases, more than one AVP was placed, with an average of 1.5 devices per patient. In two cases, adjunctive coils were placed. Computed tomographic or magnetic resonance angiography follow-up was available for all patients (mean follow-up, 419 days; range 28-930 d). No case showed evidence of device migration or type II endoleak resulting from AVP failure. There was a single instance of left subclavian artery recanalization without type II endoleak. There were no embolization-related ischemic end-organ events. CONCLUSIONS: Transcatheter arterial occlusion of the subclavian and celiac arteries with the AVP is a valuable adjunct to endografting in cases in which side branch embolization is necessary to extend the landing zone.
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Authors | Ashok Tholpady, Daniel E Hendricks, Ugur Bozlar, Ulku C Turba, Saher S Sabri, John F Angle, Bulent Arslan, Kenneth J Cherry, Michael D Dake, Alan H Matsumoto, Wael E A Saad, Auh Whan Park, Hugo Bonatti, Klaus D Hagspiel |
Journal | Journal of vascular and interventional radiology : JVIR
(J Vasc Interv Radiol)
Vol. 21
Issue 10
Pg. 1501-7
(Oct 2010)
ISSN: 1535-7732 [Electronic] United States |
PMID | 20801685
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2010 SIR. Published by Elsevier Inc. All rights reserved. |
Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Alloys
- Aortic Aneurysm, Thoracic
- Blood Vessel Prosthesis
(adverse effects)
- Celiac Artery
(surgery)
- Device Removal
- Female
- Humans
- Middle Aged
- Postoperative Hemorrhage
(prevention & control, surgery)
- Subclavian Artery
(surgery)
- Treatment Outcome
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