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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(02): 254-261
DOI: 10.4103/0971-3026.184422
Intervention Radiology

Amplatzer vascular plug as an embolic agent in different vascular pathologies: A pictorial essay

Jonathan Tresley
Department of Diagnostic and Vascular/Interventional Radiology, Jackson Memorial Hospital, Miami, Florida, USA
,
Shivank Bhatia
Department of Diagnostic and Vascular/Interventional Radiology, Jackson Memorial Hospital, Miami, Florida, USA
,
Issam Kably
Department of Diagnostic and Vascular/Interventional Radiology, Jackson Memorial Hospital, Miami, Florida, USA
,
Prasoon Poozhikunnath Mohan
Department of Diagnostic and Vascular/Interventional Radiology, Jackson Memorial Hospital, Miami, Florida, USA
,
Jason Salsamendi
Department of Diagnostic and Vascular/Interventional Radiology, Jackson Memorial Hospital, Miami, Florida, USA
,
Govindarajan Narayanan
Department of Diagnostic and Vascular/Interventional Radiology, Jackson Memorial Hospital, Miami, Florida, USA
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

The Amplatzer Vascular Plug (AVP) is a cylindrical plug made of self-expanding nitinol wire mesh with precise delivery control, which can be used for a variety of vascular pathologies. An AVP is an ideal vascular occlusion device particularly in high-flow vessels, where there is high risk of migration and systemic embolization with traditional occlusion devices. We performed 28 embolizations using the AVP from 2009 to 2014 and achieved complete occlusion without complications.

Keywords

Amplatzer vascular plug - embolization device - vascular embolization


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Masura J, Gavora P, Formanek A, Hijazi ZM. Transcatheter closure of secundum atrial septal defects using the new self-centering amplatzer septal occluder: Initial human experience. Cathet Cardiovasc Diagn 1997;42:388-93.
  • 2 Bilbao JI, Martínez-Cuesta A, Urtasun F, Cosín O. Complications of embolization. Semin Intervent Radiol 2006;23:126-42.
  • 3 Stromberg P. Amplatzer Vascular Plug and Delivery System. US Food and Drug Administration Premarket Notification Rockville, MD; 2003. Available from: http://www.accessdatafdagov/cdrh_docs/pdf3/k031810pdf. [Last accessed on 2014 Nov 20].
  • 4 Vascular Plug Family. Available from: http://www.amplatzercom/products/VascularPlugFamily/tabid/813/Defaultaspx. [Last accessed on 2014 Nov 20].
  • 5 Idowu O, Barodawala F, Nemeth A, Trerotola SO. Dual use of an amplatzer device in the transcatheter embolization of a large high-flow renal arteriovenous fistula. J Vasc Interv Radiol 2007;18:671-6.
  • 6 Gandhi RT, Quintana D. Advancing the standard of care in peripheral embolization. Endovasc Today 2014;4:1-4.
  • 7 Wang W, Li H, Tam MD, Zhou D, Wang DX, Spain J. The amplatzer vascular plug: A review of the device and its clinical applications. Cardiovasc Intervent Radiol 2012;35:725-40.
  • 8 Ozyer U, Harman A, Aytekin C, Boyvat F, Karakayali F. Application of the AMPLATZER vascular plug in endovascular occlusion of dialysis accesses. Cardiovasc Intervent Radiol 2009;32:967-73.
  • 9 Powell S, Narlawar R, Odetoyinbo T, Littler P, Oweis D, Sharma A, et al. Early experience with the amplatzer vascular plug II for occlusive purposes in arteriovenous hemodialysis access. Cardiovasc Intervent Radiol 2010;33:150-6.
  • 10 Bui JT, Gaba RC, Knuttinen MG, West DL, Owens CA. Amplatzer vascular plug for arteriovenous hemodialysis access occlusion: Initial experience. J Vasc Access 2009;10:5-10.
  • 11 Ferro C, Petrocelli F, Rossi UG, Bovio G, Dahmane M, Seitun S. Vascular percutaneous transcatheter embolisation with a new device: Amplatzer vascular plug. Radiol Med 2007;112:239-51.
  • 12 Owens CA, Bui JT, West DL, Sepahdari A. Use of the amplatzer vascular plug as a coil constrainer during endovascular occlusion of a dialysis shunt. Cardiovasc Intervent Radiol 2007;30:754-6.
  • 13 Campbell JE, Davis C, Defade BP, Tierney JP, Stone PA. Use of an amplatzer vascular plug for transcatheter embolization of a renal arteriovenous fistula. Vascular 2009;17:40-3.
  • 14 Tuite DJ, Kessel DO, Nicholson AA, Patel JV, McPherson SJ, Shaw DR. Initial clinical experience using the amplatzer vascular plug. Cardiovasc Intervent Radiol 2007;30:650-4.
  • 15 Brountzos EN, Ptohis N, Grammenou-Pomoni M, Panagiotou I, Kelekis D, Gouliamos A, et al. High-flow renal arteriovenous fistula treated with the amplatzer vascular plug: Implementation of an arterial and venous approach. Cardiovasc Intervent Radiol 2009;32:543-7.
  • 16 Peynircioglu B, Cil B. Amplatzer stuffing technique in the treatment of an iatrogenic mesenteric arteriovenous fistula. Cardiovasc Intervent Radiol 2009;32:1247-51.
  • 17 Ferro C, Rossi UG, Bovio G, Petrocelli F, Seitun S. The amplatzer vascular plug 4: Preliminary experience. Cardiovasc Intervent Radiol 2010;33:844-8.
  • 18 Recto MR, Sadlo H, Sobczyk WL. Rare case of persistent left superior vena cava to left upper pulmonary vein: Pathway for paradoxical embolization and development of transient ischemic attack and subsequent occlusion with an amplatzer vascular plug. J Invasive Cardiol 2007;19:E313-6.
  • 19 Chang DH, Liebig T, Bangard C. Closure of an iatrogenic arteriovenous fistula and an pseudoaneurysm of the lower leg with the amplatzer vascular plug. Rofo 2011;183:394-6.
  • 20 Park YN, Kim JH, Choi ST, Byun SS, Kang JM, Kim HS, et al. Endovascular therapy of a traumatic chronic popliteal arteriovenous fistula using an AMPLATZER vascular plug. J Vasc Interv Radiol 2010;21:1779-82.
  • 21 Zhu X, Tam MD, Pierce G, McLennan G, Sands MJ, Lieber MS, et al. Utility of the amplatzer vascular plug in splenic artery embolization: A comparison study with conventional coil technique. Cardiovasc Intervent Radiol 2011;34:522-31.
  • 22 Maurer MH, Mogl MT, Podrabsky P, Denecke T, Grieser C, Fröling V, et al. Splenic artery syndrome after orthotopic liver transplantation: Treatment with the amplatzer vascular plug. Cardiovasc Intervent Radiol 2011;34:1208-13.
  • 23 Pattynama PM, Wils A, van der Linden E, van Dijk LC. Embolization with the amplatzer vascular plug in TIPS patients. Cardiovasc Intervent Radiol 2007;30:1218-21.
  • 24 Cil B, Peynircioglu B, Canyigit M, Geyik S, Ciftçi T. Peripheral vascular applications of the amplatzer vascular plug. Diagn Interv Radiol 2008;14:35-9.
  • 25 Mordasini P, Szucs-Farkas Z, Do DD, Gralla J, Kettenbach J, Hoppe H. Use of a latest-generation vascular plug for peripheral vascular embolization with use of a diagnostic catheter: Preliminary clinical experience. J Vasc Interv Radiol 2010;21:1185-90.
  • 26 Lee SA, Lee YS, Lee KS, Jeon GS. Congenital intrahepatic portosystemic venous shunt and liver mass in a child patient: Successful endovascular treatment with an amplatzer vascular plug (AVP). Korean J Radiol 2010;11:583-6.
  • 27 Park SW, Kang HS, Kim YJ, Lee MW, Roh HG. Successful occlusion of spontaneous portosystemic shunts leading to encephalopathy in a non-cirrhotic patient by using the amplatzer vascular plug. Acta Radiol 2007;48:1077-81.
  • 28 Ringe KI, Weidemann J, Rosenthal H, Keberle M, Chavan A, Baus S, et al. Transhepatic preoperative portal vein embolization using the amplatzer vascular plug: Report of four cases. Cardiovasc Intervent Radiol 2007;30:1245-7.
  • 29 Libicher M, Herbrik M, Stippel D, Poggenborg J, Bovenschulte H, Schwabe H. Portal vein embolization using the amplatzer vascular plug II: Preliminary results. Rofo 2010;182:501-6.
  • 30 Yoo H, Ko GY, Gwon DI, Kim JH, Yoon HK, Sung KB, et al. Preoperative portal vein embolization using an amplatzer vascular plug. Eur Radiol 2009;19:1054-61.
  • 31 Conti V, Fiorucci F, Serpilli M, Patrizi A, Paone G, Neri P, et al. Osler-Rendu-Weber syndrome: Congenital arteriovenous intrapulmonary fistula treated using a percutaneous amplatzer plug. Eur Rev Med Pharmacol Sci 2008;12:213-6.
  • 32 Santos CS, Norte A, Ferreira I, Almeida P, Segorbe Luís A, Loureiro M, et al. Hereditary hemorrhagic telangiectasia and pulmonary arteriovenous malformations - embolization with amplatzer vascular plug. Rev Port Pneumol 2009;15:331-7.
  • 33 Andersen PE, Kjeldsen AD. Occlusion of pulmonary arteriovenous malformations by use of vascular plug. Acta Radiol 2007;48:496-9.
  • 34 Baldi S, Rostagno RD, Zander T, Rabellino M, Maynar M. Occlusion of a pulmonary arteriovenous fistula with an amplatzer vascular plug. Arch Bronconeumol 2007;43:239-41.
  • 35 Cil B, Canyigit M, Ozkan OS, Pamuk GA, Dogan R. Bilateral multiple pulmonary arteriovenous malformations: Endovascular treatment with the amplatzer vascular plug. J Vasc Interv Radiol 2006;17:141-5.
  • 36 Kessler J, Trerotola SO. Use of the amplatzer vascular plug for embolization of a large retroperitoneal shunt during transjugular intrahepatic portosystemic shunt creation for gastric variceal bleeding. J Vasc Interv Radiol 2006;17:135-40.
  • 37 Abdel Aal AK, Hamed MF, Biosca RF, Saddekni S, Raghuram K. Occlusion time for amplatzer vascular plug in the management of pulmonary arteriovenous malformations. AJR Am J Roentgenol 2009;192:793-9.
  • 38 Ferro C, Rossi UG, Bovio G, Seitun S, Rossi GA. Percutaneous transcatheter embolization of a large pulmonary arteriovenous fistula with an Amplatzer vascular plug. Cardiovasc Intervent Radiol 2007;30:328-31.
  • 39 Rossi M, Rebonato A, Greco L, Stefanini G, Citone M, Speranza A, et al. A new device for vascular embolization: Report on case of two pulmonary arteriovenous fistulas embolization using the amplatzer vascular plug. Cardiovasc Intervent Radiol 2006;29:902-6.
  • 40 Hart JL, Aldin Z, Braude P, Shovlin CL, Jackson J. Embolization of pulmonary arteriovenous malformations using the amplatzer vascular plug: Successful treatment of 69 consecutive patients. Eur Radiol 2010;20:2663-70.
  • 41 Farra H, Balzer DT. Transcatheter occlusion of a large pulmonary arteriovenous malformation using the amplatzer vascular plug. Pediatr Cardiol 2005;26:683-5.
  • 42 Hicks TD, Kedora JC, Shutze WP. Treatment of an ilioenteric fistula with an amplatzer vascular plug. J Vasc Surg 2011;54:1495-7.
  • 43 Koc O, Cil BE, Peynircioglu B, Emlik D, Ozbek O. Complementary use of NBCA with the amplatzer vascular plug for embolization of a high-flow traumatic hepatic arteriovenous fistula. Cardiovasc Intervent Radiol 2009;32:1105-7.
  • 44 Maleux G, Rega F, Heye S, Troost E, Budts W. Asymptomatic migration of a first-generation AMPLATZER vascular plug into the abdominal aorta: Conservative management may be an option. J Vasc Interv Radiol 2011;22:569-70.
  • 45 Güneyli S, Çinar C, Bozkaya H, Parildar M, Oran I. Applications of the amplatzer vascular plug to various vascular lesions. Diagn Interv Radiol 2014;20:155-9.
  • 46 Hoit DA, Schirmer CM, Malek AM. Use of the amplatzer vascular plug as an anchoring scaffold for coil-mediated parent vessel occlusion: Technical case report. Neurosurgery 2006;59 1 Suppl 1:ONSE171-2.
  • 47 Widlus DM, Moeslein FM, Richard HM 3rd. Evaluation of the amplatzer vascular plug for proximal splenic artery embolization. J Vasc Interv Radiol 2008;19:652-6.
  • 48 Pech M, Kraetsch A, Wieners G, Redlich U, Gaffke G, Ricke J, et al. Embolization of the gastroduodenal artery before selective internal radiotherapy: A prospectively randomized trial comparing platinum-fibered microcoils with the amplatzer vascular plug II. Cardiovasc Intervent Radiol 2009;32:455-61.
  • 49 Pellerin O, Caruba T, Kandounakis Y, Novelli L, Pineau J, Prognon P, et al. Embolization of the internal iliac artery: Cost-effectiveness of two different techniques. Cardiovasc Intervent Radiol 2008;31:1088-93.