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The Amplatzer vascular plug for large vessel occlusion in the endovascular management of aneurysms

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Abstract

The Amplatzer vascular plug (AVP) is derived from the Amplatzer device used in correction of cardiac septal defects. We present a large series of the use of the AVP in the endovascular management of aneurysms. Three patients with a combination of aortic and peripheral aneurysms underwent embolisation with the AVP. Plugs with 10–16 mm diameter were used and delivered using introducer/guiding sheaths. A total of 16 internal iliac arteries, 2 common iliac arteries (CIA), 4 subclavian (SCA) arteries, 1 superior mesenteric (SMA) and 1 popliteal artery were embolised. Successful occlusion with the AVP was achieved in 21 out of 24 vessels (87.5%), of which 18 (75%) occluded immediately and 3 (12.5%) were delayed occlusions. The three patients who are considered to have failed to occlude with the AVP required the use of additional embolic agents. At the end of the 17-month follow-up all 24 target vessels had occluded. Two patients developed persistent buttock claudication, and one had a left hemiparesis. The AVP is useful as an adjunctive device in the management of aneurysms. It has a particular role in embolisation of large-diameter vessels with a short implantation zone. The device is safe and easy to use.

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Authors and Affiliations

  1. Department of Radiology, St.George’s Hospital, Blackshaw Road, London, SW17 0QT, United Kingdom

    Lakshmi A. Ratnam, Richard M. Walkden, Graham J. Munneke, Robert A. Morgan & Anna-Maria Belli

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  1. Lakshmi A. Ratnam
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  2. Richard M. Walkden
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  3. Graham J. Munneke
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  4. Robert A. Morgan
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  5. Anna-Maria Belli
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Correspondence to Anna-Maria Belli.

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Ratnam, L.A., Walkden, R.M., Munneke, G.J. et al. The Amplatzer vascular plug for large vessel occlusion in the endovascular management of aneurysms. Eur Radiol 18, 2006–2012 (2008). https://doi.org/10.1007/s00330-008-0967-0

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  • DOI: https://doi.org/10.1007/s00330-008-0967-0

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