title: Applications of the Amplatzer Vascular Plug to various vascular lesions.
abstract: The Amplatzer® Vascular Plug (AVP) can be used to embolize medium-to-large high-flow vessels in various locations. Between 2009 and 2012, 41 AVPs (device size, 6-22 mm in diameter) were used to achieve occlusion in 31 patients (24 males, seven females) aged 9-92 years (mean age, 54.5 years). The locations and indications for embolotherapy were as follows: internal iliac artery embolization before stent-graft repair for aorto-iliac (n=6) and common iliac artery (n=3) aneurysms, subclavian artery embolization before stent-graft repair for thoracic aorta (n=3) and arcus aorta (n=1) aneurysms, brachiocephalic trunk embolization before stent-graft repair for a thoracic aorta aneurysm (n=1), embolization of aneurysms and pseudoaneurysms (n=5), embolization for carotid blow-out syndrome (n=3), closure of arteriovenous fistula (n=8), and closure of a portosystemic fistula (n=1). Of the 41 AVPs, 30 were AVP 2 and 11 were AVP 4. The mean follow-up duration was 4.7 months (range, 1-24 months). During follow-up, there was one migration, one insufficient embolization, and one recanalization. The remaining vascular lesions were successfully excluded from the circulation. The AVP, which can be used in a wide spectrum of pathologies, is easy to use and causes few complications. This essay presents our experience with the AVP.
authors.affiliation: From the Department of Radiology (S.G. e-mail: serkanguneyli@yahoo.com), Ege University School of Medicine, İzmir, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Güneyli
authors.forename: Celal
authors.initials: C
authors.lastname: Çinar
authors.forename: Halil
authors.initials: H
authors.lastname: Bozkaya
authors.forename: Mustafa
authors.initials: M
authors.lastname: Parıldar
authors.forename: İsmail
authors.initials: İ
authors.lastname: Oran
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055989:Septal Occluder Device; D014652:Vascular Diseases / Q000628:therapy*; D055815:Young Adult
references.citation: Catheter Cardiovasc Interv. 2006 Jan;67(1):113-9
references.pmid: 16345050
references.citation: Catheter Cardiovasc Interv. 2008 Jun 1;71(7):940-3
references.pmid: 18412268
references.citation: Eur Radiol. 2009 May;19(5):1054-61
references.pmid: 19057904
references.citation: Diagn Interv Radiol. 2012 Mar-Apr;18(2):225-30
references.pmid: 21922460
references.citation: J Vasc Surg. 2008 Nov;48(5):1121-4
references.pmid: 18692350
references.citation: Pediatr Cardiol. 2009 May;30(4):540-2
references.pmid: 19294462
references.citation: Catheter Cardiovasc Interv. 2010 Sep 1;76(3):411-7
references.pmid: 20552654
references.citation: Diagn Interv Radiol. 2008 Mar;14(1):35-9
references.pmid: 18306144
references.citation: Ann Acad Med Singap. 2009 Sep;38(9):763-8
references.pmid: 19816634
references.citation: Emerg Radiol. 2008 May;15(3):153-60
references.pmid: 18193463
references.citation: Interv Neuroradiol. 2011 Jun;17(2):224-7
references.pmid: 21696663
references.citation: Pediatr Cardiol. 2006 Jan-Feb;27(1):142-145
references.pmid: 16261274
references.citation: Neurosurgery. 2006 Jul;59(1 Suppl 1):ONSE171-2; discussion ONSE171-2
references.pmid: 16888564
references.citation: J Endovasc Ther. 2010 Aug;17(4):564-8
references.pmid: 20681777