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01-09-2008 | Interventional

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

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

Published in: European Radiology | Issue 9/2008

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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Title: The Amplatzer vascular plug for large vessel occlusion in the endovascular management of aneurysms
Authors: Lakshmi A. Ratnam
Richard M. Walkden
Graham J. Munneke
Robert A. Morgan
Anna-Maria Belli
Publication date: 01-09-2008
Publisher: Springer-Verlag
Published in: European Radiology / Issue 9/2008
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-008-0967-0

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

Abstract

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Abstract

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