Peripheral vascular applications of the Amplatzer vascular plug.

Abstract

PURPOSE:

To present our experience using the Amplatzer vascular plug in various arterial and venous systems, and follow-up results.

MATERIALS AND METHODS:

Between May 2005 and October 2006, 20 Amplatzer vascular plugs were used to achieve occlusion in 20 vessels in 12 patients (10 male, 2 female) aged between 24 and 80 years (mean age, 55 years). Localization and indications for embolotherapy were as follows: pulmonary arteriovenous malformations (n = 3; 9 vessels), internal iliac artery embolization before stent-graft repair for aortoiliac aneurysms (n = 4; 4 vessels), preoperative (right hemipelvectomy) embolization of bilateral internal iliac arteries (n = 1), bilateral internal iliac aneurysms (n = 1), large thoracic side branch of the left internal mammary artery coronary by-pass graft causing coronary steal syndrome (n = 1), closure of a transjugular intrahepatic portosystemic shunt (n = 1), and testicular vein embolization for a varicocele (n = 1).

RESULTS:

The technical success rate was 100%, with total occlusion of all the targeted vessels. Only one device was used to achieve total occlusion of the targeted vessel in all patients (device size range, 6-16 mm in diameter). No major complications occurred. Target vessel occlusion time after deployment of the Amplatzer vascular plug was 6-10 min in pulmonary arteries (mean, 7.5 min) and 10-35 min (mean, 24.4 min) in systemic arteries. Mean follow-up was 6.7 months (range, 1-18 months).

CONCLUSION:

Embolization with the Amplatzer vascular plug is safe, feasible, and technically simple with appropriate patient selection in various vascular territories.

• Authors: Barbaros Cil, Bora Peynircioğlu, Murat Canyiğit, Serdar Geyik, Türkmen Ciftçi
• Journal: Diagnostic and interventional radiology (Ankara, Turkey) (Diagn Interv Radiol) Vol. 14 Issue 1 Pg. 35-9 (Mar 2008) ISSN: 1305-3825 [Print] Turkey
• PMID: 18306144 (Publication Type: Evaluation Study, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Aortic Aneurysm, Abdominal (pathology, therapy)
• Arteriovenous Malformations (pathology, therapy)
• Embolization, Therapeutic (instrumentation)
• Female
• Humans
• Iliac Aneurysm (pathology, therapy)
• Male
• Middle Aged
• Prosthesis Design
• Retrospective Studies
• Treatment Outcome