Document Detail


Evaluation of the Amplatzer vascular plug for proximal splenic artery embolization.
MedLine Citation:
PMID:  18440451     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Proximal splenic artery embolization is performed for splenic salvage in the setting of trauma or before splenectomy in patients with splenomegaly. Typically, this has been done with the use of metallic coils, but precise placement of the first deposited coil may be limited. The Amplatzer vascular plug (AVP) may be used to accomplish precise proximal splenic artery embolization. MATERIALS AND METHODS: Fourteen patients had proximal splenic artery embolization performed with the AVP. Thirteen were performed to allow splenic salvage after blunt trauma and one was performed before splenectomy for massive splenomegaly. Devices ranging in diameter from 8 to 12 mm were placed through 5-F or 6-F guiding catheters. Desired AVP location was distal to the dorsal pancreatic artery and proximal to the most peripheral pancreatica magna branch. Test injections of contrast agent were performed after approximately 5 minutes and then at 3-5-minute intervals until occlusion was seen. If this was not noted by 15 minutes, an adjunctive closure method was chosen. Computed tomography (CT) follow-up was performed in all patients. RESULTS: Device placement in the desired location was successful in all cases, with device repositioning required in two. Occlusion took an average of approximately 10 minutes. Additional coils placed in three patients could all be packed into a tight configuration. A second AVP was placed in one patient. There were no complications of the procedures. Follow-up CT images showed no evidence of migration or recanalization of any of the devices. Minimal artifact was noted from the AVP on CT. CONCLUSION: In this preliminary series, use of the AVP allowed for precise proximal splenic artery embolization.
Authors:
David M Widlus; Fred M Moeslein; Howard M Richard
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2008-03-17
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  19     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-28     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  652-6     Citation Subset:  IM    
Affiliation:
Division of Interventional Radiology, Department of Radiology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. dwidlus@umm.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angiography
Blood Vessel Prosthesis*
Embolization, Therapeutic / instrumentation*
Female
Humans
Male
Middle Aged
Splenic Artery*
Splenomegaly / radiography,  therapy*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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