Aims and objectives
To evaluate the safety and efficacy of the Amplatzer vascular plug (AVP) for embolization of common iliac arteries during aorto-uni-iliac endovascular aortic aneurysm repair (EVAR).
Methods and materials
Between December 2010 and October 2017 twenty-three consecutive patients (22 men,
1 woman; mean age 74-years-old,
48-83 years) underwent occlusion of the common iliac artery (CIA) with a vascular plug during EVAR.
These patients were treated with an aorto-uni-iliac graft,
femoro-femoral by-pass and occlusion of the contralateral common iliac artery with an Amplatzer plug. In all patients the diameter of the aneurysmal sac was larger than 55 mm. Nineteen patients received aorto-uni-iliac (AUI)...
CIA occlusion was successful in all 23 patients.
A total of 26 type 2 AVPs were deployed (three patients required 2 devices). No other embolic agents were used. Complete and precise occlusion was confirmed angiographically in all patients. The average diameter of the occluded CIA was 12,7 mm (range: 9 - 21mm).
The average size of the AVP device was 18 mm (range: 14 – 22 mm).
the size of the device was 45% greater than the occluded vessel diameter. There were no endoleaks related with...
The Amplatzer vascular plug is safe and effective for common iliac artery occlusion during EVAR.
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