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La radiologia medica

, Volume 123, Issue 3, pp 236–243 | Cite as

Arterial embolizations with microvascular plug in extracranial and intracranial districts: technical results

  • Francesco Giurazza
  • Fabio Corvino
  • Errico Cavaglià
  • Gianluca Cangiano
  • Francesco Amodio
  • Giuseppe De Magistris
  • Giulia Frauenfelder
  • Gianluigi Guarnieri
  • Mario Muto
  • Raffaella Niola
VASCULAR AND INTERVENTIONAL RADIOLOGY
  • 167 Downloads

Abstract

Purpose

A new detachable microvascular plug (MVP, Reverse Medical®, Irvine, CA, USA) has been recently developed; three models are available according to the size (MVP3–MVP5–MVP7). MVP3 and MVP5 are released through a 0.027″ microcatheter, MVP7 through a 4 Fr catheter. This series aims to describe an initial single-center experience examining intraprocedural safety and technical success of MVP.

Materials and methods

Ten patients (mean age 55.1 years) have been treated for arterial embolization using MVP; eight extracranial and two intracranial arterial embolizations have been performed. The embolizations were because of: four bleedings, three aneurysms, two pseudoaneurysms, and one presurgical nephrectomy.

Results

MVP3 was used in five cases, MVP5 in four cases, and MVP 7 once. In all cases, the MVP was successfully released in < 1 min. In six patients, the MVP was the sole embolizing agent employed, while in four subjects, it was positioned complementary after coils. The technical and clinical success was obtained in 100%; hemorrhages were interrupted and aneurysms and pseudoaneurysms did not show recanalization at follow-up.

Conclusions

MVP seems to be a safe embolizing device that interventional radiologists should consider when facing arterial embolization of both body and neuroarterial districts; the main advantage is related to MVP3 and MVP5 models that can be adopted for distal embolization thanks to the precise release through 0.027″ microcatheter.

Keywords

Microvascular plug (MVP) Arterial Embolization Microcatheter 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants

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

Informed consent

Informed consent was obtained from all individual patients included in the study.

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Copyright information

© Italian Society of Medical Radiology 2017

Authors and Affiliations

  • Francesco Giurazza
    • 1
  • Fabio Corvino
    • 1
  • Errico Cavaglià
    • 1
  • Gianluca Cangiano
    • 1
  • Francesco Amodio
    • 1
  • Giuseppe De Magistris
    • 1
  • Giulia Frauenfelder
    • 2
  • Gianluigi Guarnieri
    • 3
  • Mario Muto
    • 3
  • Raffaella Niola
    • 1
  1. 1.Interventional Radiology DepartmentAORN Cardarelli di NapoliNaplesItaly
  2. 2.Radiology DepartmentUniversità Campus Bio-Medico di RomaRomeItaly
  3. 3.Neuroradiology DepartmentAORN Cardarelli di NapoliNaplesItaly

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