Use of a latest-generation vascular plug for peripheral vascular embolization with use of a diagnostic catheter: preliminary clinical experience

Journal of Vascular and Interventional Radiology : JVIR
Pasquale MordasiniHanno Hoppe

Abstract

The latest-generation Amplatzer vascular plug (AVP), the AVP 4, is designed for embolization of smaller vessels without a sheath or guiding catheter. This study evaluated the AVP 4 in peripheral vascular embolization. Embolization with the AVP 4 was attempted in 13 patients (11 men) for trauma (n = 7) and other indications (n = 6). Technical success rate, vascular bed, size of catheter, and number and size of AVP 4 devices were recorded. Embolization with the AVP 4 was successful in 10 of 13 patients (77%). In trauma patients (n = 7), embolization of the splenic artery (n = 4), lumbar artery (n = 2), and superior gluteal artery (n = 1) was performed. In other patients, preoperative embolization of the right portal vein (n = 1), a gastric varix after transjugular intrahepatic portosystemic shunt creation (n = 1), an aneurysm of the internal iliac artery (n = 1), and inferior mesenteric artery (IMA) embolization before aneurysm repair (n = 2) was performed. Sizes of the AVP 4 were 4 mm (n = 6), 6 mm (n = 5), and 8 mm (n = 1). In all patients, 4- and 5-F catheters with a 0.038-inch minimum inner lumen were used. In one patient, IMA embolization was attempted via a femoral approach but was unsuccessful as a result of repeated cathe...Continue Reading

References

May 12, 2006·Journal of Vascular and Interventional Radiology : JVIR·Hanno HoppeBryan Petersen
Apr 21, 2007·Cardiology in the Young·Gunther FischerHans Heiner Kramer
May 15, 2007·Journal of Vascular and Interventional Radiology : JVIR·Oluwatoyin IdowuScott O Trerotola
Sep 7, 2007·Journal of Vascular and Interventional Radiology : JVIR·Ralph KickuthDai-Do Do
Dec 6, 2008·European Radiology·Hyunkyung YooJeongjin Lee
Feb 24, 2009·AJR. American Journal of Roentgenology·Ahmed K Abdel AalKarthikram Raghuram

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Citations

Apr 25, 2012·Cardiovascular and Interventional Radiology·Weiping WangJames Spain
Aug 26, 2014·Journal of Vascular and Interventional Radiology : JVIR·Martin RabellinoRicardo García-Mónaco
Oct 31, 2013·Cardiovascular and Interventional Radiology·René Müller-WilleWalter A Wohlgemuth
Jun 23, 2012·Journal of Vascular and Interventional Radiology : JVIR·Edmund H NgGanesan Annamalai
Feb 15, 2011·Journal of Vascular and Interventional Radiology : JVIR·Geert MaleuxWerner Budts
Jul 15, 2016·The Indian Journal of Radiology & Imaging·Jonathan TresleyGovindarajan Narayanan
Feb 7, 2012·Vascular and Endovascular Surgery·Matthew D B S TamMichael B Crawford

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