Diagnostic and Interventional Radiology
Interventional Radiology - Original Article

Applications of the Amplatzer Vascular Plug to various vascular lesions

1.

From the Department of Radiology Ege University School of Medicine, İzmir, Turkey

2.

Department of Radiology, Ege University School of Medicine, Izmir, Turkey

3.

Ege Üniversitesi Tıp Fakültesi, Radyodiagnostik Anabilim Dalı, İzmir

4.

Departments of Radiology Ege University School of Medicine, İzmir, Turkey

5.

Departments of Radiology Ege University School of Medicine, İzmir, Turkey

Diagn Interv Radiol 2014; 20: 155-159
DOI: 10.5152/dir.2013.13139
Read: 468 Downloads: 255 Published: 03 September 2019

Abstract

The Amplatzer® Vascular Plug (AVP) can be used to embolize medium-to-large high-flow vessels in various locations. Between 2009 and 2012, 41 AVPs (device size, 6–22 mm in diameter) were used to achieve occlusion in 31 patients (24 males, seven females) aged 9–92 years (mean age, 54.5 years). The locations and indications for embolotherapy were as follows: internal iliac artery embolization before stent-graft repair for aorto-iliac (n=6) and common iliac artery (n=3) aneurysms, subclavian artery embolization before stent-graft repair for thoracic aorta (n=3) and arcus aorta (n=1) aneurysms, brachiocephalic trunk embolization before stent-graft repair for a thoracic aorta aneurysm (n=1), embolization of aneurysms and pseudoaneurysms (n=5), embolization for carotid blow-out syndrome (n=3), closure of arteriovenous fistula (n=8), and closure of a portosystemic fistula (n=1). Of the 41 AVPs, 30 were AVP 2 and 11 were AVP 4. The mean follow-up duration was 4.7 months (range, 1–24 months). During follow-up, there was one migration, one insufficient embolization, and one recanalization. The remaining vascular lesions were successfully excluded from the circulation. The AVP, which can be used in a wide spectrum of pathologies, is easy to use and causes few complications. This essay presents our experience with the AVP.

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