Document Detail


Embolization of pulmonary arteriovenous malformations using the Amplatzer vascular plug: successful treatment of 69 consecutive patients.
MedLine Citation:
PMID:  20574633     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The technique of embolization of pulmonary arteriovenous malformations (PAVMs) with the Amplatzer vascular plug (AVP) has been reported, but no large series has evaluated the effectiveness of this relatively new embolic device. The purpose of this study is to assess the role of AVPs in the treatment of PAVMs.
MATERIALS AND METHODS: Sixty-nine consecutive patients underwent embolization of pulmonary arteriovenous malformations between September 2006 and December 2008. Clinical, procedural, and physiological data were reviewed retrospectively.
RESULTS: Of 161 PAVMs, 120 (75%) were successfully embolized with Amplatzer vascular plugs alone. Complete and rapid occlusion of feeding vessels was easily achieved at the site of arteriovenous communication without complication. Particularly small or tortuous feeding arteries supplying 27 complex and 14 simple PAVMs were occluded with coils. There have been no documented instances of recanalization on follow-up.
CONCLUSION: Amplatzer vascular plugs allow the rapid and safe distal occlusion of the majority of PAVMs.
Authors:
Jonathan L Hart; Zaid Aldin; Philip Braude; Claire L Shovlin; James Jackson
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Publication Detail:
Type:  Journal Article     Date:  2010-06-24
Journal Detail:
Title:  European radiology     Volume:  20     ISSN:  1432-1084     ISO Abbreviation:  Eur Radiol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2011-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  2663-70     Citation Subset:  IM    
Affiliation:
Department of Imaging, Imperial College Healthcare NHS Trust, London, England.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arteriovenous Malformations / radiography,  therapy*
Embolization, Therapeutic / instrumentation*,  methods
Female
Humans
Male
Middle Aged
Pulmonary Artery / abnormalities*,  radiography
Pulmonary Veins / abnormalities*,  radiography
Radiography, Interventional
Young Adult

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