Amplatzer Vascular Plug for Occlusion of Parent Artery in Carotid Blowout with Active Extravasation

Shankar, Jai; Maloney, W J; Vandorpe, Robert

doi:10.1177/159101991101700214

Cited by 14 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Amplatzer Vascular Plug is a self-expanding cylindrical device of nitinol wire mesh. 72 It is delivered through a guide catheter into the diseased vessel proximal to the lesion. It adjusts to the shape of the vessel resulting in vessel occlusion.…”

Section: Cbs After Reirradiation Of a Recurrent Tumormentioning

confidence: 99%

Carotid blowout syndrome: modern trends in management

Suárez¹,

Fernández-Álvarez²,

Hamoir³

et al. 2018

CMAR

112

136

View full text Add to dashboard Cite

Carotid blowout syndrome (CBS) refers to rupture of the carotid artery and is an uncommon complication of head and neck cancer that can be rapidly fatal without prompt diagnosis and intervention. CBS develops when a damaged arterial wall cannot sustain its integrity against the patient’s blood pressure, mainly in patients who have undergone surgical procedures and radiotherapy due to cancer of the head and neck, or have been reirradiated for a recurrent or second primary tumor in the neck. Among patients irradiated prior to surgery, CBS is usually a result of wound breakdown, pharyngocutaneous fistula and infection. This complication has often been fatal in the past, but at the present time, early diagnosis and modern technology applied to its management have decreased morbidity and mortality rates. In addition to analysis of the causes and consequences of CBS, the purpose of this paper is to critically review methods for early diagnosis of this complication and establish individualized treatment based on endovascular procedures for each patient.

show abstract

Section: Cbs After Reirradiation Of a Recurrent Tumormentioning

confidence: 99%

Carotid blowout syndrome: modern trends in management

Suárez¹,

Fernández-Álvarez²,

Hamoir³

et al. 2018

CMAR

112

136

View full text Add to dashboard Cite

show abstract

“…Limited use has been described in the neurointerventional literature. 5,13,16,30,39 The endovascular plug allows for prompt and durable vascular occlusion without the need for antiplatelet therapy, in contrast to detachable coil embolization and stent reconstruction. Furthermore, coils do not achieve an instantaneous occlusion after deployment.…”

Section: Discussionmentioning

confidence: 99%

“…30 In humans, the device has been shown to be effective in treating carotid-cavernous fistulas 31 as well as carotid blowout in patients with head and neck cancer. 28,39 Intracranial pyogenic infections are also known to contribute to the formation of pseudoaneurysms. The ICA lesion in our patient appeared to arise from a direct carotid artery injury rather than the infective process.…”

Section: Discussionmentioning

confidence: 99%

Endovascular plug for internal carotid artery occlusion in the management of a cavernous pseudoaneurysm with bifrontal subdural empyema: technical note

Manjila

Singh

Ndubuizu

et al. 2017

Journal of Neurosurgery: Pediatrics

View full text Add to dashboard Cite

The authors demonstrate the use of an endovascular plug in securing a carotid artery pseudoaneurysm in an emergent setting requiring craniotomy for a concurrent subdural empyema.They describe the case of a 14-year-old boy with sinusitis and bifrontal subdural empyema who underwent transsphenoidal exploration at an outside hospital. An injury to the right cavernous segment of the ICA caused torrential epistaxis. Bleeding was successfully controlled by inflating a Foley balloon catheter within the sphenoid sinus, and the patient was transferred to the authors’ institution. Emergent angiography showed a dissection of the right cavernous carotid artery, with a large pseudoaneurysm projecting into the sphenoid sinus at the site of arterial injury. The right internal carotid artery was obliterated using pushable coils distally and an endovascular plug proximally. The endovascular plug enabled the authors to successfully exclude the pseudoaneurysm from the circulation. The patient subsequently underwent an emergent bifrontal craniotomy for evacuation of a left frontotemporal subdural empyema and exenteration of both frontal sinuses. He made a complete neurological recovery.Endovascular large-vessel sacrifice, obviating the need for numerous coils and antiplatelet therapy, has a role in the setting of selected acute neurosurgical emergencies necessitating craniotomy. The endovascular plug is a useful adjunct in such circumstances as the device can be deployed rapidly, safely, and effectively.

show abstract

“…However, relatively few reports about the use of these devices in neuroendovascular fields have been published to date 6)8)9)10)11). The AVP family has evolved from a single device to a group of 4 models (types 1 to 4).…”

Section: Discussionmentioning

confidence: 99%

“…Relatively few reports about the use of these devices for applications in neuroendovascular fields have been published 6)8)9)10)11). The purpose of this study was to report the authors' preliminary experience in using AVPs for PAO of the internal carotid artery (ICA) or vertebral artery (VA).…”

Section: Introductionmentioning

confidence: 99%

Preliminary Experience with Vascular Plugs for Parent Artery Occlusion of the Carotid or Vertebral Arteries

Lee

Shin

Kim

et al. 2016

J Cerebrovasc Endovasc Neurosurg

View full text Add to dashboard Cite

ObjectiveThe purpose of this study was to report the authors' preliminary experience using the Amplatzer Vascular Plug (AVP) (St. Jude Medical, Plymouth, MN, USA) for parent artery occlusion of the internal carotid artery (ICA) or vertebral artery (VA).Materials and MethodsBetween September 2008 and December 2015, we performed 52 therapeutic parent artery occlusions (PAOs) by an endovascular technique. Among them, 10 patients underwent PAO of the carotid or vertebral arteries using AVPs. Clinical and radiographic data of these patients were retrospectively reviewed.ResultsThe devices were used for VA dissection that presented with subarachnoid hemorrhage (SAH) in five patients, traumatic arteriovenous fistula (AVF) in two patients, spontaneous AVF in one patient, recurrence of carotid-cavernous fistula (CCF) in one patient, and symptomatic unruptured giant ICA aneurysm in one patient. The devices were used in conjunction with detachable and/or pushable coils and in the extracranial segments of the ICA or VA. Complete occlusion of the parent artery was achieved in all patients. There was one intra-procedural rupture of the VA dissection during coiling prior to using the device.ConclusionResults from the current series suggest that the AVP might be used for therapeutic PAO in the extracranial segments of the ICA or VA.

show abstract

Amplatzer Vascular Plug for Occlusion of Parent Artery in Carotid Blowout with Active Extravasation

Cited by 14 publications

References 8 publications

Carotid blowout syndrome: modern trends in management

Carotid blowout syndrome: modern trends in management

Endovascular plug for internal carotid artery occlusion in the management of a cavernous pseudoaneurysm with bifrontal subdural empyema: technical note

Preliminary Experience with Vascular Plugs for Parent Artery Occlusion of the Carotid or Vertebral Arteries

Contact Info

Product

Resources

About