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Indications for the use of the Amplatzer vascular plug in interventional radiology

Indicazioni in radiologia interventistica all’utilizzo del sistema Vascular Plug Amplatzer (VPA)

  • Vascular and Interventional Radiology/Radiologia Vascolare ed Interventistica
  • Published:
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Abstract

Purpose

This study was undertaken to assess the indications and effectiveness of the Amplatzer vascular plug (AVP) system in interventional radiology.

Materials and methods

Over the past year, we selected 12 patients (seven men and five women; mean age 65.8 years, range 45–82) for the occlusion of five internal iliac arteries (in three aortoiliac aneurysms, one internal iliac aneurysm and one isolated common iliac artery aneurysm), two common iliac arteries (in two ruptured abdominal aortic aneurysms), two subclavian arteries (in aortic arch aneurysms) and three splenic artery aneurysms. We used 15 AVPs (splenic artery aneurysms were excluded, with one AVP in the feeding vessel and one in the draining vessel).

Results

We achieved immediate technical success in 12/12 cases. No rupture or dissection of the treated arteries occurred. During the follow-up (mean 4.6 months, range 3–6) computed tomography (CT) angiography and/or contrast-enhanced ultrasound demonstrated complete artery occlusion and aneurysm exclusion.

Conclusions

Ease and speed of use combined with precise, controlled delivery justify the growing use of the AVP in interventional radiology. No doubt, the system’s versatility will extend its indications, and larger studies with longer follow-up periods will validate the results achieved so far.

Riassunto

Obiettivo

Valutare le possibili indicazioni e l’efficacia del sistema Vascular Plug Amplatzer (VPA) in radiologia interventistica.

Materiali e metodi

Nell’ultimo anno abbiamo selezionato 12 pazienti (7 maschi e 5 femmine), (età media 65,8 anni, range 45–82) per l’occlusione di: 5 arterie ipogastriche (in 3 aneurismi aorto-iliaci, 1 aneurisma dell’arteria ipogastrica e 1 aneurisma isolato dell’arteria iliaca comune), 2 arterie iliache comuni (in aneurismi dell’aorta addominale rotti), 2 arterie succlavie (in aneurismi dell’arco aortico) e di 3 aneurismi dell’arteria splenica. Sono stati utilizzati 15 VPA (gli aneurismi splenici sono stati esclusi mediante 2 VPA a monte e a valle).

Risultati

È stato ottenuto successo tecnico immediato 12/12 casi. Non si sono verificate complicanze maggiori quali rottura, perforazione o dissezione del vaso trattato. Durante il follow-up (medio 4,6 mesi, range 3–6) il controllo con angio-TC e/o ecografia con MdC ha dimostrato la completa occlusione dei vasi trattati e l’esclusione degli aneurismi.

Conclusioni

La rapidità e semplicità di utilizzo e il preciso e controllato rilascio dell’AVP, con immediato successo tecnico, ne giustificano la divulgazione in radiologia interventistica. La versatilità del dispositivo ne amplierà sicuramente le indicazioni con risultati avvalorati da pubblicazioni ulteriori e studi numericamente più ampi e con follow-up più protratto.

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References/Bibliografia

  1. Wang JK, Tsai SK, Wu MH et al (2004) Short-and intermediate-term results of transcatheter closure of atrial septal defect with the Amplatzer Septal Occluder. Am Heart J 148:511–517

    Article  PubMed  Google Scholar 

  2. Santoro G, Bigazzi MC, Palladino MT et al (2004) Comparison of percutaneous closure of large patent ductus arteriosus by multiple coils versus the Amplatzer duct occluder device. Am J Cardiol 94:252–255

    Article  PubMed  Google Scholar 

  3. Kessler J, Trerotola SO (2006). Use of the Amplatzer Vascular Plug fo embolization of a Retroperitoneal Shunt during Transjugular intrahepatic portosystemic shunt creation for gastric variceal bleeding. JVIR 17:135–140

    PubMed  Google Scholar 

  4. Cil B, Canyigit M, Ozkan OS et al (2006). Bilateral multiple pulmonary arteriovenous malformations: endovascular treatment with the Amplatzer vascular plug. JVIR 17:141–145

    PubMed  Google Scholar 

  5. Hoit DA, Schirmer CM, Malek AM (2006) Use of the Amplatzer vascular plug as an anchoring scaffold for coil-mediated parent vessel occlusion: technical case report. Neurosurgery 59:171–172

    Article  Google Scholar 

  6. Dorenberg EJ, Hafsahl G, Andersen R, Krohg-Sorensen K (2006) Recurrent rupture of a hypogastric aneurysm caused by spontaneous recanalization of an Amplatzer vascular plug. J Vasc Interv Radiol 17:1037–1041

    PubMed  Google Scholar 

  7. Rossi M, Rebonato A, Greco L et al (2006) A new device for vascular embolization: report on case of two pulmonary arteriovenous fistulas embolization using the amplatzer vascular plug. Cardiovasc Intervent Radiol 29:902–906

    Article  PubMed  Google Scholar 

  8. Hoppe H, Hohenwalter EJ, Kaufman JA, Petersen B (2006) Percutaneous treatment of aberrant right subclavian artery aneurysm with use of the Amplatzer septal occluder. J Vasc Interv Radiol 17:889–894

    Article  PubMed  Google Scholar 

  9. Beck A, Dagan T, Matitiau A, Bruckheimer E (2006) Transcatheter closure of pulmonary arteriovenous malformations with amplatzer devices. Catheter Cardiovasc Interv 67:932–937

    Article  PubMed  Google Scholar 

  10. Mylonas I, Sakata Y, Salinger MH, Feldman T (2006) Successful closure of a giant true saphenous vein graft aneurysm using the Amplatzer vascular plug. Catheter Cardiovasc Interv 67:611–616

    Article  PubMed  Google Scholar 

  11. Ha CD, Calcagno D (2005) Amplatzer Vascular Plug to occlude the internal iliac arteries in patients undergoing aortoiliac aneurysm repair. J Vasc Surg 42:1058–1062

    Article  PubMed  Google Scholar 

  12. Pate GE, Carere RG (2005) Percutaneous occlusion of a pulmonary aneurysm causing hemoptysis in a patient with pulmonary atresia and aortopulmonary collaterals. Catheter Cardiovasc Interv 65:310–312

    Article  PubMed  Google Scholar 

  13. Ferro C, Rossi UG, Bovio G et al (2007) Percutaneous transcatheter embolization of a large pulmonary arteriovenous fistula with an Amplatzer Vascular Plug. Cardiovasc Intervent Radiol 30:328–331

    Article  PubMed  Google Scholar 

  14. de Medici L, Bucci F, Nesi F, Rabitti G (2006) Embolization of isolated hypogastric artery aneurysm: a case report and a review of the literature. Cardiovasc Intervent Radiol 29:893–896

    Article  PubMed  Google Scholar 

  15. Prasad V, Chan RP, Faughnan ME (2004) Embolotherapy of pulmonary arteriovenous malformations: efficacy of platinum versus stainless steel coils. J Vasc Interv Radiol 15:153–160

    PubMed  Google Scholar 

  16. Dinkel HP, Triller J (2002) Pulmonary arteriovenous malformations: embolotherapy with superselective coaxial catheter placement and filling of venous sac with Guglielmi detachable coils. Radiology 223:709–714

    Article  PubMed  Google Scholar 

  17. Lagana D, Carrafiello G, Mangini M et al (2006) Multimodal approach to endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Eur J Radiol 59:104–111

    Article  PubMed  Google Scholar 

  18. Muhs BE, Verhoeven EL, Zeebregts CJ et al (2006) Mid-term results of endovascular aneurysm repair with branched and fenestrated endografts. J Vasc Surg 44:9–15

    Article  PubMed  Google Scholar 

  19. Lagana D, Carrafiello G, Mangini M et al (2006) Emergency endovascular treatment of abdominal aortic aneurysms: feasibility and results. Cardiovasc Intervent Radiol 29:241–248

    Article  PubMed  Google Scholar 

  20. Rabenstein T, Boosfeld C, Henrich R, Ell C (2006) First use of ventricular septal defect occlusion device for endoscopic closure of an esophagorespiratory fistula using bronchoscopy and esophagoscopy. Chest 130:906–909

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Vascular and Interventional Radiology, Department of Radiology, University of Insubria, Viale Borri 57, 21100, Varese, Italy

    D. Laganà, G. Carrafiello, M. Mangini, D. Lumia, F. Fontana, A. Ianniello & C. Fugazzola

Authors
  1. D. Laganà
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  2. G. Carrafiello
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  3. M. Mangini
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  4. D. Lumia
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  5. F. Fontana
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  6. A. Ianniello
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  7. C. Fugazzola
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Correspondence to D. Laganà.

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Laganà, D., Carrafiello, G., Mangini, M. et al. Indications for the use of the Amplatzer vascular plug in interventional radiology. Radiol med 113, 707–718 (2008). https://doi.org/10.1007/s11547-008-0306-1

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  • DOI: https://doi.org/10.1007/s11547-008-0306-1

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