Transcatheter retrieval of an Amplatzer Vascular Plug

doi:10.5114/pjr.2018.75617

Transcatheter retrieval of an Amplatzer Vascular Plug

Bibliographic description

title:	Transcatheter retrieval of an Amplatzer Vascular Plug
author:	Sato Yozo, Inaba Yoshitaka, Hasegawa Takaaki, Murata Shinichi, Kimbara Yuki, Senda Yoshiki
Journal title:	Polish Journal of Radiology
volume:	83
date of publication:	2018
pages:	e133-e136
ISSN:	1733-134X
eISSN:	1899-0967
DOI:	10.5114/pjr.2018.75617
notes:	Bibliogr. s. e136
language:	English
Journal language:	English
abstract in english:	Introduction: An Amplatzer Vascular Plug (AVP), which was designed as a permanent occluding device derived from the Amplatzer Septal Occluder and Amplatzer Duct Occluder, is a useful embolic device that can be precisely deployed in medium to large vessels with high resistance to migration. However, migration of these Amplatzer devices has been reported as a relatively rare but major complication. Case report: A 59-year-old woman was referred for the treatment of advanced pancreatic body cancer; after systemic chemotherapy, distal pancreatectomy with en bloc celiac axis resection (DP-CAR) was planned as curative treatment. Therefore, preoperative embolisation of the common hepatic artery (CHA) for arterial redistribution was performed. Although a 6-mm AVP II was deployed at the mid-portion of the CHA, the AVP migrated to the proper hepatic artery. Although migrated AVP retrieval using a goose neck snare was attempted, it was impossible to retrieve it into the 5-F guiding sheath. Therefore, the AVP was delivered to the splenic artery, which was planned to be resected in DP-CAR. Finally, a 10-mm AVP II was redeployed at the proximal portion of the CHA, and complete occlusion was achieved. Conclusions: When AVP retrieval is not possible, delivery to the other arteries having lesser influence might be an alternate technique.
keywords in english:	embolisation, therapeutic/methods, septal occluder device, preoperative care
type:	journal article
subtype:	academic paper

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