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CardioVascular and Interventional Radiology

, Volume 30, Issue 4, pp 754–756 | Cite as

Use of the Amplatzer Vascular Plug as a Coil Constrainer During Endovascular Occlusion of a Dialysis Shunt

  • Charles A. Owens
  • James T. Bui
  • Derek L. West
  • Ali Sepahdari
Technical Note

Introduction

Limb ischemia or ischemic steal syndrome is an uncommon complication, occurring in 1% to 10% of patients following construction of arteriovenous dialysis grafts and fistulas [1, 2]. In this Technical Note we describe the percutaneous closure of an 8-mm dialysis graft causing symptoms of ischemic steal syndrome. Our technique involves the use of an Amplatzer Vascular Plug (AGA Medical Corp., Golden Valley, MN) as a coil constainer to avoid unintended distal coil migration during occlusion of a high flow vascular system.

Case Report

A 30-year-old female with a history of sickle cell disease, systemic lupus erythematosus, and end-stage renal disease presented for dialysis graft occlusion 4 weeks following surgical creation of a left upper arm, loop-type dialysis graft. The patient described symptoms of vascular steal that began immediately following surgery and progressively worsened over the next 4 weeks. Her symptoms included ischemic rest pain involving her left hand and...

Keywords

Abdominal Aortic Aneurysm Introducer Sheath Amplatzer Vascular Plug Arterial Anastomosis Pulmonary Arteriovenous Malformation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Charles A. Owens
    • 1
  • James T. Bui
    • 1
  • Derek L. West
    • 1
  • Ali Sepahdari
    • 1
  1. 1.Department of Radiology (M/C 931)University of Illinois Medical CenterChicagoUSA

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