Transcatheter closure of pulmonary arteriovenous malformations with amplatzer devices

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Avi BeckElchanan Bruckheimer

Abstract

To review the authors' experience with transcatheter closure of pulmonary arteriovenous malformations (PAVMs) using amplatzer duct occluder (ADO) devices and vascular plugs (AGA Medical, Golden Valley, MN) and present a novel technique for delivery sheath placement and device delivery. PAVMs can cause cyanosis, fatigue, polycythemia, and thromboembolic phenomena. Transcatheter closure using coils, detachable balloons, and various devices has replaced surgery as the preferred therapy. Between January 2001 and December 2004, five patients (2M, 3F) of median age 33 years (14-49) were referred for transcatheter closure of multiple PAVMs. All patients were diagnosed previously with hereditary hemorrhagic telangectasia. The procedures were performed with sedation using a percutaneous transcatheter technique via the femoral vein under fluoroscopic guidance. A total of 14 PAVMs (11 ADO and 3 plugs) were closed in five patients. Three patients required two procedures after developing additional PAVMs. All attempts at PAVM closure were successful. Oxygen saturation increased from 88.4 +/- 6.1 to 96.4 +/- 0.5 (P < 0.05). No complications, including air or thromboembolism, hemoptysis, or chest pain, occurred. At median follow-up of 3.4 yea...Continue Reading

References

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Citations

Sep 16, 2008·Cardiovascular and Interventional Radiology·Mario ZanchettaLuigi Pedon
Jul 19, 2012·Cardiovascular and Interventional Radiology·George Joseph, Brajesh Kumar Kunwar
Feb 24, 2009·AJR. American Journal of Roentgenology·Ahmed K Abdel AalKarthikram Raghuram
Aug 24, 2010·AJR. American Journal of Roentgenology·Scott O Trerotola, Reed E Pyeritz
Mar 25, 2014·Journal of Vascular and Interventional Radiology : JVIR·Fahrettin KucukayAdnan Karan
Mar 30, 2010·Journal of Vascular and Interventional Radiology : JVIR·Laurent Letourneau-GuillonEric Therasse
Jul 29, 2008·Journal of Vascular and Interventional Radiology : JVIR·Nicholas FidelmanRobert K Kerlan
Jan 31, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gunther FischerPer G Bjørnstad
Feb 11, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Elchanan BruckheimerEinat Birk

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