Skip to main content
SpringerLink
Log in

Amplatzer Vascular Plug Anchoring Technique to Stabilize the Delivery System for Microcoil Embolization

  • Technical Note
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the feasibility of a novel embolization technique, the Amplatzer vascular plug (AVP) anchoring technique, to stabilize the delivery system for microcoil embolization.

Materials and methods

Three patients were enrolled in this study, including two cases of internal iliac artery aneurysms and one case of internal iliac arterial occlusion prior to endovascular aortic repair. An AVP was used in each case for embolization of one target artery, and the AVP was left in place. The AVP detachment wire was then used as an anchor to stabilize the delivery system for microcoil embolization to embolize the second target artery adjacent to the first target artery. The microcatheter for the microcoils was inserted parallel to the AVP detachment wire in the guiding sheath or catheter used for the AVP.

Results

The AVP anchoring technique was achieved and the microcatheter was easily advanced to the second target artery in all three cases.

Conclusion

The AVP anchoring technique was found to be feasible to advance the microcatheter into the neighboring artery of an AVP-embolized artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. Burbelko M, Kalinowski M, Heverhagen JT, Piechowiak E, Kiessling A, Figiel J, et al. Prevention of type II endoleak using the AMPLATZER vascular plug before endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2014;47(1):28–36.

    Article  CAS  PubMed  Google Scholar 

  2. Trerotola SO, Pyeritz RE. Does use of coils in addition to Amplatzer vascular plugs prevent recanalization? AJR Am J Roentgenol. 2010;195(3):766–71.

    Article  PubMed  Google Scholar 

  3. Koc O, Cil BE, Peynircioglu B, Emlik D, Ozbek O. Complementary use of NBCA with the Amplatzer vascular plug for embolization of a high-flow traumatic hepatic arteriovenous fistula. Cardiovasc Intervent Radiol. 2009;32(5):1105–7.

    Article  PubMed  Google Scholar 

  4. Wang W, Tam MD, Spain J, Quintini C. Gelfoam-assisted Amplatzer vascular plug technique for rapid occlusion in proximal splenic artery embolization. AJR Am J Roentgenol. 2013;200(3):677–81.

    Article  PubMed  Google Scholar 

  5. Muradi A, Yamaguchi M, Okada T, Nomura Y, Idoguchi K, Ueshima E, et al. Technical and outcome considerations of endovascular treatment for internal iliac artery aneurysms. Cardiovasc Intervent Radiol. 2014;37(2):348–54.

    Article  PubMed  Google Scholar 

  6. Millon A, Paquet Y, Ben Ahmed S, Pinel G, Rosset E, Lermusiaux P. Midterm outcomes of embolisation of internal iliac artery aneurysms. Eur J Vasc Endovasc Surg. 2013;45(1):22–7.

    Article  CAS  PubMed  Google Scholar 

  7. Dix FP, Titi M, Al-Khaffaf H. The isolated internal iliac artery aneurysm—a review. Eur J Vasc Endovasc Surg. 2005;30(2):119–29.

    Article  CAS  PubMed  Google Scholar 

  8. Stokmans RA, Willigendael EM, Teijink JA, Ten Bosch JA, van Sambeek MR, Cuypers PW. Challenging the evidence for pre-emptive coil embolisation of the internal iliac artery during endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2013;45(3):220–6.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by a Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science, and Technology, Japan.

Author information

Authors and Affiliations

  1. Department of Radiology/Center for Advanced Medical Technology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan

    Shiro Onozawa, Satoru Murata, Fumie Sugihara, Daisuke Yasui & Shin-ichiro Kumita

  2. Department of Radiology, Tokai University Hachioji Hospital, Tokai University School of Medicine, Tokyo, Japan

    Takahiko Mine

Authors
  1. Shiro Onozawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Satoru Murata
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Takahiko Mine
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Fumie Sugihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Daisuke Yasui
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Shin-ichiro Kumita
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shiro Onozawa.

Ethics declarations

Conflict of interest

The authors have no conflicts of interest to declare.

Ethical approval

All studies involving human participants were in accordance with the ethical standards of the institutional and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Onozawa, S., Murata, S., Mine, T. et al. Amplatzer Vascular Plug Anchoring Technique to Stabilize the Delivery System for Microcoil Embolization. Cardiovasc Intervent Radiol 39, 756–760 (2016). https://doi.org/10.1007/s00270-015-1248-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-015-1248-3

Keywords

Search

Navigation