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Transcatheter retrieval of an Amplatzer Vascular Plug
embolisation
therapeutic/methods
septal occluder device
preoperative care
Bibliogr. s. e136
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.
cris.lastimport.wos | 2024-04-10T03:14:59Z | |
dc.abstract.en | 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. | pl |
dc.contributor.author | Sato, Yozo | pl |
dc.contributor.author | Inaba, Yoshitaka | pl |
dc.contributor.author | Hasegawa, Takaaki | pl |
dc.contributor.author | Murata, Shinichi | pl |
dc.contributor.author | Kimbara, Yuki | pl |
dc.contributor.author | Senda, Yoshiki | pl |
dc.date.accessioned | 2018-05-08T10:27:44Z | |
dc.date.available | 2018-05-08T10:27:44Z | |
dc.date.issued | 2018 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.additional | Bibliogr. s. e136 | pl |
dc.description.physical | e133-e136 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 83 | pl |
dc.identifier.doi | 10.5114/pjr.2018.75617 | pl |
dc.identifier.eissn | 1899-0967 | pl |
dc.identifier.issn | 1733-134X | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/54158 | |
dc.language | eng | pl |
dc.language.container | eng | pl |
dc.rights | Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska | * |
dc.rights.licence | CC-BY-NC-ND | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode | * |
dc.share.type | otwarte czasopismo | |
dc.subject.en | embolisation | pl |
dc.subject.en | therapeutic/methods | pl |
dc.subject.en | septal occluder device | pl |
dc.subject.en | preoperative care | pl |
dc.subtype | Article | pl |
dc.title | Transcatheter retrieval of an Amplatzer Vascular Plug | pl |
dc.title.journal | Polish Journal of Radiology | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
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