The nitinol vascular occlusion plug: preliminary experimental evaluation in peripheral veins

J Vasc Interv Radiol. 1999 Jan;10(1):23-7. doi: 10.1016/s1051-0443(99)70004-7.

Abstract

Purpose: To compare the nitinol occlusion plug with standard stainless steel coils for the occlusion of moderate-size peripheral veins.

Materials and methods: The nitinol plug is a braided multilayered vascular occlusion device filled with thrombogenic polyester fibers. It is self-expanding and can be recaptured into its 6-F introducing sheath for repositioning prior to detachment. Ten occlusion procedures were performed in five dogs from a retrograde transjugular venous approach. Five nitinol plugs (diameter: 7.4 mm +/- 0.5) were deployed in five femoropopliteal veins (diameter: 6.5 mm +/- 0.7; mean oversizing 14.6%). Two sequential Gianturco coils (diameter: 7.4 mm +/- 0.9) were deployed in the corresponding contralateral veins (diameter: 6.2 mm +/- 0.8; mean oversizing 19.6%). Follow-up venography was performed at 1 month, following which the animals were killed and the vessels were explanted.

Results: Time-to-occlusion was significantly shorter with the nitinol plug as compared to two Gianturco coils (4.2 minutes +/- 3.4 vs 25.6 minutes +/- 14.1, respectively [P < .03]). At 1 month all but one coil-doublet (80%) had recanalized or migrated, compared to only one nitinol occluder (20%, P < .04). Histopathologic examination of plug-occluded veins showed a uniform organized matrix and underlying intimal proliferative response.

Conclusion: A single nitinol occluder resulted in significantly faster occlusion time and significantly lower recanalization or migration rate than two Gianturco coils, in moderate-size peripheral veins.

Publication types

  • Comparative Study

MeSH terms

  • Alloys*
  • Animals
  • Collateral Circulation
  • Dogs
  • Embolization, Therapeutic / adverse effects
  • Embolization, Therapeutic / instrumentation*
  • Equipment Design
  • Femoral Vein / diagnostic imaging
  • Femoral Vein / pathology*
  • Fibrosis
  • Follow-Up Studies
  • Foreign-Body Migration / etiology
  • Peripheral Vascular Diseases / therapy
  • Phlebography
  • Polyesters
  • Popliteal Vein / diagnostic imaging
  • Popliteal Vein / pathology*
  • Stainless Steel
  • Statistics as Topic
  • Time Factors
  • Tunica Intima / pathology

Substances

  • Alloys
  • Polyesters
  • Stainless Steel
  • nitinol