Bilateral transrenal ureteral occlusion by means of n-butyl cyanoacrylate and AMPLATZER vascular plug

Abstract

AMPLATZER vascular plug is a widely used embolic agent. In the present paper, we present a case of an 86-year-old female patient who underwent bilateral ureteral occlusion by means of AMPLATZER vascular plug II coupled to n-butyl cyanoacrylate (NBCA) because of recurring pyelonephritis following cystectomy with subsequent bilateral ureterosigmoidostomy (sec. Mainz type II).

Percutaneous Treatment Options of Lower Urinary Tract Fistulas and Leakages

“…Amplatzer vascular plugs (AVP)which are approved for endovascular applicationscan be used for ureteral occlusion either with a latex cover [38] or as a scaffold to secure additional embolisates (coils and/or glue) [24,25,39,40].…”

“…Other authors have raised the concern that a latex-covered AVP may dislocate and suggested using the AVP as a scaffold for additional glue embolization with high clinical success rates of 90 -100 % during follow-up (7 -14 months) [24,25,39,40].…”