Application of the AMPLATZER Vascular Plug in Endovascular Occlusion of Dialysis Accesses

Journal Article · Tue Sep 15 04:00:00 EDT 2009 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9574-Y· OSTI ID:21429112

Ozyer, Umut; Harman, Ali; Aytekin, Cuneyt; Boyvat, Fatih ^[1]; Karakayali, Feza ^[2]

---

1. Baskent University Faculty of Medicine, Department of Radiology (Turkey)
2. Baskent University Faculty of Medicine, Department of General Surgery (Turkey)

The purpose of this study was to share our initial experience with the AMPLATZER Vascular Plug (AVP) in occluding dialysis accesses. Between January 2007 and October 2008, five patients with autogenous and one patient with prosthetic accesses were referred for endovascular occlusion owing to central venous obstruction (n = 4) and dialysis-associated steal syndrome (n = 2) leading to disabling complications. We used a single AVP in two patients, double AVPs in two patients, and double AVPs and n-butyl 2-cyanoacrylate in one patient with an autogenous access. Two coils were deployed between two AVPs to occlude the prosthetic graft. Immediate success was achieved in all patients, with no complications. Mean follow-up time was 13 months (range, 1-21 months) and none of the patients had experienced symptom recurrence as of the time of writing. The AVP allows simple, precise, and reliable dialysis access occlusion without significant complications when surgical ligation is not preferred. It can be used with other embolizing agents to provide occlusion in the case of failure.

• OSTI ID: 21429112
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 5 Vol. 32; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
CLOSURES
DIALYSIS
GRAFTS
ORGANS
SEPARATION PROCESSES
TRANSPLANTS
TUBES
VEINS