Use of an Amplatzer vascular plug II for aortic sac occlusion after failed surgical ligation.
OBJECTIVE
To present a case of aortic sac occlusion using an Amplatzer vascular plug II (AVP).


METHODS
A patient with sigmoid malignancy and an infrarenal aortic aneurysm ultimately required an axillobifemoral graft for acute limb ischemia. The sac was ligated at subsequent laparotomy. Persistent filling of the sac was seen post surgery, and the sac was successfully occluded with placement of an AVP in the neck of the sac in conjunction with coil embolization of lumbar arteries. Sac occlusion was confirmed at follow-up CT.


CONCLUSIONS
The AVP was successfully used to occlude an aortic sac after failed surgical ligation, another novel indication for this versatile embolic device.
Interventional Radiology Unit, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UB, UK. matthewtam2005@gmail.com
Matthew D B S
MD
Tam
Darren
D
Morrow
Michael B
MB
Crawford
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D001027:Aortography / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008026:Ligation; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014656:Vascular Surgical Procedures