Amplatzer vascular plug-assisted retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathy

2013 ◽  
Vol 24 (4) ◽  
pp. S63
Author(s):  
D. Gwon ◽  
G. Ko ◽  
H. Ko ◽  
H. Yoon ◽  
K. Sung
Keyword(s):  
Hepatic Encephalopathy ◽  
Gastric Varices ◽  
Amplatzer Vascular Plug ◽  
Vascular Plug

scholarly journals Transhepatic Embolization of Congenital Intrahepatic Portosystemic Venous Shunts with Associated Aneurysms

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Kalyan Paudel ◽  
Eric K. Hoffer
Keyword(s):  
Hepatic Encephalopathy ◽  
Duplex Ultrasound ◽  
Amplatzer Vascular Plug ◽  
Middle Aged ◽  
Vascular Plug ◽  
Aged Woman ◽  
Contrast Enhanced ◽  
Middle Aged Woman ◽  
Intrahepatic Shunts ◽  
Contrast Enhanced Mri

Intrahepatic shunts between the portal and systemic venous systems with associated aneurysms are extremely rare. A middle aged woman presented with hepatic encephalopathy and was found to have two intrahepatic portosystemic venous shunts with associated aneurysms. Diagnosis was made by duplex ultrasound and was confirmed with contrast enhanced MRI. Treatment was performed percutaneously with an Amplatzer vascular plug.

Gastric Varices and Hepatic Encephalopathy: Treatment with Vascular Plug and Gelatin Sponge–assisted Retrograde Transvenous Obliteration—A Primary Report

Radiology ◽  
2013 ◽  
Vol 268 (1) ◽  
pp. 281-287 ◽  
Author(s):  
Dong Il Gwon ◽  
Gi-Young Ko ◽  
Hyun-Ki Yoon ◽  
Kyu-Bo Sung ◽  
Jin Hyoung Kim ◽  
...  
Keyword(s):  
Hepatic Encephalopathy ◽  
Gastric Varices ◽  
Gelatin Sponge ◽  
Vascular Plug

scholarly journals Retrograde Transvenous Obliteration of Gastric Varices using Sodium Tetradecyl Sulphate: Technical Considerations and Results from a Single Institution Retrospective Study

2021 ◽  
Author(s):  
Pushpinder S. Khera ◽  
Pawan K. Garg ◽  
Sarbesh Tiwari ◽  
Narendra Bhargava ◽  
Taruna Yadav ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Clinical Success ◽  
Gastric Varices ◽  
Early Recurrence ◽  
Single Institution ◽  
Vascular Plug ◽  
Acute Bleeding ◽  
Sclerosing Agents ◽  
Age Range ◽  
Refractory Hepatic Encephalopathy

Abstract Introduction Retrograde transvenous obliteration (RTO) with the assistance of a balloon (BRTO) or a vascular plug (PARTO) is an established method for treating gastric varices (GVs) secondary to portal hypertension. Most of the available studies on RTO have used lipiodol along with sclerosing agents like ethanolamine oleate or sodium tetradecyl sulfate (STS). We evaluated the safety and efficacy of RTO for treating GVs using STS as a sclerosant without lipiodol. Materials and Methods Sixteen patients (nine men, age range 16–74 years) were included in this retrospective study. Twelve patients presented with acute bleeding, two with chronic bleeding, one with large varices without bleeding, and one with refractory hepatic encephalopathy (HE). BRTO was attempted in 14 patients and PARTO in 2 patients. The technical and clinical success and complications of RTO were studied. Results The RTO procedure was technically successful in 14 (14/16, 87.5%) patients, with 13 (13/14, 93%) obtaining clinical success. One patient died due to the early recurrence of bleeding. Three patients had minor intraprocedural complications. Conclusion Retrograde gastric variceal obliteration using STS is safe and technically feasible with high technical and clinical success and low complication rate.

The use of the Amplatzer Vascular Plug in the prevention of endoleaks during abdominal endovascular aneurysm repair: A systematic literature review on current applications

Vascular ◽  
2021 ◽  
pp. 170853812110251
Author(s):  
Umberto M Bracale ◽  
Anna Petrone ◽  
Michele Provenzano ◽  
Nicola Ielapi ◽  
Liborio Ferrante ◽  
...  
Keyword(s):  
Literature Review ◽  
Iliac Artery ◽  
Endovascular Aneurysm Repair ◽  
Vascular Occlusion ◽  
Abdominal Aortic Aneurysm Repair ◽  
Amplatzer Vascular Plug ◽  
Cost Comparison ◽  
Vascular Plug ◽  
Occlusion Device ◽  
Aneurysm Repair

Objectives The Amplatzer Vascular Plug (AVP) is a vascular occlusion device designed to provide optimal embolization in several fields of the endovascular surgery. A full literature review was conducted to analyze AVPs in comparison with coils for the prevention of endoleaks during endovascular abdominal aortic aneurysm repair. Methods A systematic review was designed under PRISMA statement guidelines for systematic reviews and meta-analyses. The results were updated with a subsequent electronic search using Medline and Scopus databases up to December 2019. Results Eighteen articles making this comparison were found. In 79.7% of the cases, the target vessel was the internal iliac artery; in 1.6%, the common iliac artery; and in 16.7%, the inferior mesenteric artery. Risk of complications (buttock claudication, groin hematoma, endoleaks, and erectile dysfunction) after AVP was low. A cost comparison revealed that the mean cost for coils was around US$2262, while the average cost for the AVP was US$310. Conclusions The AVP is an effective and safe device for occluding peripheral vessels, proved to have lower complications rates. Compared with coil embolization, the AVP technique is potentially associated with lower procedural costs.

Transcatheter closure of post-operative type 1 Gerbode defect by Amplatzer Duct Occluder 2

2021 ◽  
pp. 1-3
Author(s):  
Ahmet Vedat Kavurt ◽  
İbrahim Ece ◽  
Denizhan Bağrul
Keyword(s):  
Transcatheter Closure ◽  
Left Ventricular ◽  
Amplatzer Vascular Plug ◽  
Right Atrial ◽  
Amplatzer Duct Occluder ◽  
Vascular Plug ◽  
Gerbode Defect ◽  
Amplatzer Vascular Plug Ii

Abstract Acquired and congenital left ventricular to right atrial communication is rare, but nowadays, the frequency of the iatrogenic subgroup is increasing. Successful transcatheter closure of these defects with different devices has been reported. Herein, we presented successful closure of left ventricular to right atrial communication with Amplatzer Duct Occluder 2 after attempting to close with a failed Amplatzer Vascular Plug II device in a 7-year-old girl. This report supports that transcatheter closure of iatrogenic Gerbode defect with Amplatzer Duct Occluder 2 device is safe and effective.

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