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Published in: CardioVascular and Interventional Radiology 5/2006

01-10-2006

A New Device for Vascular Embolization: Report on Case of Two Pulmonary Arteriovenous Fistulas Embolization Using the Amplatzer Vascular Plug

Authors: Michele Rossi, Alberto Rebonato, Laura Greco, Giulio Stefanini, Michele Citone, Annnarita Speranza, Vincenzo David

Published in: CardioVascular and Interventional Radiology | Issue 5/2006

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Abstract

A pulmonary arteriovenous fistula (PAVF) is a rare vascular malformation commonly treated by embolization with coils or balloons to prevent the risk of several serious complications such as cerebral embolism and brain abscess. A 32-year-old female with two PAVFs and neurological ischemic manifestations has been successfully treated by transcatheter embolization of both fistulas using a new device (Amplatzer Vascular Plug). This self-expanding cylindrical nitinol mesh cage with high radial strength allows a chance of relocation until properly positioned. It is preferred to coils or balloons because a large caliber of feeding artery implied high risk of uncontrollable distal embolization. There appear to be no reports in the literature concerning use of this device, which could represent a useful innovative tool in embolotherapies, especially in large vascular areas.
Literature
1.
go back to reference Pick A, Deschamps C, Stanson AW (1999) Pulmonary arteriovenous fistula: presentation, diagnosis, and treatment. World J Surg 23:1118–1122CrossRefPubMed Pick A, Deschamps C, Stanson AW (1999) Pulmonary arteriovenous fistula: presentation, diagnosis, and treatment. World J Surg 23:1118–1122CrossRefPubMed
2.
go back to reference White RI, Pollack JS, Wirth JA (1996) Pulmonary arteriovenous malformations: diagnosis and transcatheter embolotherapy. J Vase Interv Radiol 7:787–804CrossRefPubMed White RI, Pollack JS, Wirth JA (1996) Pulmonary arteriovenous malformations: diagnosis and transcatheter embolotherapy. J Vase Interv Radiol 7:787–804CrossRefPubMed
3.
go back to reference Swanson KL, Prakash UB, Stanson AW (1999) Pulmonary arteriovenous fistulas: Mayo Clinic experience, 1982–l997. Mayo Clin Proc 74:671–680CrossRefPubMed Swanson KL, Prakash UB, Stanson AW (1999) Pulmonary arteriovenous fistulas: Mayo Clinic experience, 1982–l997. Mayo Clin Proc 74:671–680CrossRefPubMed
4.
go back to reference White RI Jr, Lynch-Nyhan A, Terry P, et al. (1988) Pulmonary arteriovenous malformations: techniques and long-term outcome of embolotherapy. Radiology 169:663–669CrossRefPubMed White RI Jr, Lynch-Nyhan A, Terry P, et al. (1988) Pulmonary arteriovenous malformations: techniques and long-term outcome of embolotherapy. Radiology 169:663–669CrossRefPubMed
5.
go back to reference Lee DW, White RI Jr, Egglin TK, et al. (1997) Embolotherapy of large pulmonary arteriovenous malformations: long-term results. Ann Thorac Surg 64:930–993 discussion 939–940CrossRefPubMed Lee DW, White RI Jr, Egglin TK, et al. (1997) Embolotherapy of large pulmonary arteriovenous malformations: long-term results. Ann Thorac Surg 64:930–993 discussion 939–940CrossRefPubMed
6.
go back to reference Sagara K, Miyazono N, Inoue H, et al. (1998) Recanalization after coil embolotherapy of pulmonary arteriovenous malformations: study of long-term outcome and mechanism for recanalization. AJR Am J Roentgenol 1701:727–730CrossRefPubMed Sagara K, Miyazono N, Inoue H, et al. (1998) Recanalization after coil embolotherapy of pulmonary arteriovenous malformations: study of long-term outcome and mechanism for recanalization. AJR Am J Roentgenol 1701:727–730CrossRefPubMed
7.
go back to reference Apostolopoulou SC, Kelekis NL, Papagiannis J, et al. (2001) Transcatheter occlusion of a large pulmonary arteriovenous malformation with use of a Cardioseal device. J Vase Interv Radiol 12:767–769CrossRefPubMed Apostolopoulou SC, Kelekis NL, Papagiannis J, et al. (2001) Transcatheter occlusion of a large pulmonary arteriovenous malformation with use of a Cardioseal device. J Vase Interv Radiol 12:767–769CrossRefPubMed
8.
go back to reference Cil BE, Erdogan C, Akmangit I, et al. (2004) Use of the TriSpan coil to facilitate the transcatheter occlusion of pulmonary arteriovenous malformation. Cardiovasc Intervent Radiol 27:655–658CrossRefPubMed Cil BE, Erdogan C, Akmangit I, et al. (2004) Use of the TriSpan coil to facilitate the transcatheter occlusion of pulmonary arteriovenous malformation. Cardiovasc Intervent Radiol 27:655–658CrossRefPubMed
9.
go back to reference Lacombe P, Lagrange C, El Hajjam M, et al. (2005) Reperfusion of complex pulmonary arteriovenous malformations after embolization: report of three cases. Cardiovasc Intervent Radiol., 28:30–35CrossRefPubMed Lacombe P, Lagrange C, El Hajjam M, et al. (2005) Reperfusion of complex pulmonary arteriovenous malformations after embolization: report of three cases. Cardiovasc Intervent Radiol., 28:30–35CrossRefPubMed
10.
go back to reference Takahashi K, Tanimura K, Honda M, et al. (1999) Venous sac embolization of pulmonary arteriovenous malformation: preliminary experience using interlocking detachable coils. Cardiovasc Intervent Radiol 22:210–213CrossRefPubMed Takahashi K, Tanimura K, Honda M, et al. (1999) Venous sac embolization of pulmonary arteriovenous malformation: preliminary experience using interlocking detachable coils. Cardiovasc Intervent Radiol 22:210–213CrossRefPubMed
11.
go back to reference Saluja S, Sitko I, Lee DW, et al. (1999) Embolotherapy of pulmonary arteriovenous malformations with detachable balloons: long-term durability and efficacy. J Vase Interv Radiol 10:883–889CrossRefPubMed Saluja S, Sitko I, Lee DW, et al. (1999) Embolotherapy of pulmonary arteriovenous malformations with detachable balloons: long-term durability and efficacy. J Vase Interv Radiol 10:883–889CrossRefPubMed
12.
go back to reference 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 148:511–517CrossRefPubMed 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 148:511–517CrossRefPubMed
13.
go back to reference Santoro G, Bigazzi MC, Palladino MT, et al. (2004) Comparison of percutaneous closure of large patent ductus arteriosus bv multiple coils versus the Amplatzer duct occluder device. Am J Cardiol 94:252–255CrossRefPubMed Santoro G, Bigazzi MC, Palladino MT, et al. (2004) Comparison of percutaneous closure of large patent ductus arteriosus bv multiple coils versus the Amplatzer duct occluder device. Am J Cardiol 94:252–255CrossRefPubMed
14.
go back to reference De Giovanni JV (2001) The use of Amplatzer devices to occlude vascular fistulae. J Interventi Cardiol 14:45–48CrossRefPubMed De Giovanni JV (2001) The use of Amplatzer devices to occlude vascular fistulae. J Interventi Cardiol 14:45–48CrossRefPubMed
Metadata
Title
A New Device for Vascular Embolization: Report on Case of Two Pulmonary Arteriovenous Fistulas Embolization Using the Amplatzer Vascular Plug
Authors
Michele Rossi
Alberto Rebonato
Laura Greco
Giulio Stefanini
Michele Citone
Annnarita Speranza
Vincenzo David
Publication date
01-10-2006
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 5/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-005-0160-7

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