Early experience on peripheral vascular application of the vascular plugs

Indian Heart J. 2013 Sep-Oct;65(5):536-45. doi: 10.1016/j.ihj.2013.08.016. Epub 2013 Sep 5.

Abstract

Background: Transcatheter closure of various congenital and acquired vascular malformations with Amplatzer Vascular plugs I and II has been established. Here we present our experience with device closure.

Materials and methods: Between October 2006 and August 2012, nine (three males and six females) patients aged between 11 months and 62 years (mean age 19 years) underwent percutaneous device closure with AVP I and II vascular plugs for congenital and acquired arteriovenous malformation and cardiac diverticulum are presented here.

Results: One case of coronary cameral fistula, four cases of pulmonary arteriovenous fistula, one case of large major aortopulmonary collaterals (in tetralogy of Fallot closed before intracardiac repair), one case of congenital cardiac diverticulum, one case of fistula between external carotid artery and internal jugular vein and one case of iatrogenic carotid jugular fistula were successfully closed with AVP I and II plugs. Overall in nine cases, 16 AVP I and II plugs were deployed to occlude feeding vessels and one cardiac diverticulum. The technical success rate was 100%. No major complications were observed.

Conclusion: Amplatzer vascular plugs can be used successfully for closure of various congenital and acquired vascular malformations with good result.

Keywords: Percutaneous device closure; Vascular malformations; Vascular plugs.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Angiography / methods
  • Arteriovenous Fistula / diagnosis*
  • Arteriovenous Fistula / therapy*
  • Arteriovenous Malformations / diagnosis*
  • Arteriovenous Malformations / therapy*
  • Balloon Occlusion / instrumentation*
  • Balloon Occlusion / methods
  • Child
  • Echocardiography, Transesophageal / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Multimodal Imaging / methods*
  • Pulmonary Artery / abnormalities*
  • Pulmonary Veins / abnormalities*
  • Retrospective Studies
  • Risk Assessment
  • Sampling Studies
  • Septal Occluder Device / statistics & numerical data
  • Time Factors
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Supplementary concepts

  • Pulmonary Arteriovenous Fistulas