Preliminary experience with the micro vascular plug for the treatment of pulmonary arteriovenous malformation: case series of four patients

CVIR Endovascular - Tập 1 Số 1 - Trang 1-7 - 2018
Duvnjak, Stevo1,2, Di Ciesco, Carmela Anna1, Andersen, Poul Erik1,2
1Department of Radiology, Odense University Hospital, Odense C, Denmark
2Department of Clinical Research, University of Southern Denmark, Odense, Denmark

Tóm tắt

To describe the preliminary experience using Micro Vascular Plug (MVP) for treatment of pulmonary arteriovenous malformations (PAVMs) with small feeding arteries (3 -5 mm) in four patients with Hereditary Haemorrhagic Telangiectasia (HHT). One female and three male patients with PAVMs have been treated during 2017. The mean age was 32.5 years; (range: 20–53). All patients underwent contrast echocardiography and computed tomography of the chest to establish the diagnosis. Four patients with PAVMs were treated with embolisation using the MVP-3Q and MVP-5Q micro plugs. All MVP were placed without complications and with following immediate occlusion of the PAVMs in all three cases. In one case MVP was placed semi selectively. All cases were with the good clinical outcomes. MVP is a new detachable embolisation material which is easy to use. Maximal control during the deployment and immediate occlusion of the target vessels can be achieved.

Tài liệu tham khảo

citation_journal_title=Acta Radiol Short Rep; citation_title=Embolization of pulmonary AVMs of feeding arteries less than 3 mm: reports of two cases and an 8-year follow-up without embolization; citation_author=PE Andersen, AD Kjeldsen; citation_volume=29; citation_publication_date=2012; citation_pages=1; citation_doi=10.1258/arsr.2012.120001; citation_id=CR1 citation_journal_title=Cardiovasc Intervent Radiol; citation_title=Pulmonary arteriovenous malformations Embolized using a micro vascular plug system: technical note on a preliminary experience; citation_author=E Boatta, C Jahn, M Canuet; citation_volume=40; citation_publication_date=2017; citation_pages=296-301; citation_doi=10.1007/s00270-016-1493-0; citation_id=CR2 citation_journal_title=Chest; citation_title=Pulmonary arteriovenous malformations; citation_author=R Cartin-Ceba, KL Swanson, MJ Krowka; citation_volume=144; citation_publication_date=2013; citation_pages=1033-1044; citation_doi=10.1378/chest.12-0924; citation_id=CR3 citation_journal_title=J Vasc Interv Radiol; citation_title=Intraprocedural safety and technical success of the MVP micro vascular plug for embolization of pulmonary arteriovenous malformations; citation_author=MB Conrad, BM Ishaque, AM Surman; citation_volume=26; citation_publication_date=2015; citation_pages=1735-1739; citation_doi=10.1016/j.jvir.2015.08.005; citation_id=CR4 citation_journal_title=Am J Respir Crit Care Med; citation_title=Pulmonary arteriovenous malformations in patients with hereditary haemorrhagic telangectasia; citation_author=V Cottin, H Plauchu, JY Bayle; citation_volume=169; citation_publication_date=2004; citation_pages=994-1000; citation_doi=10.1164/rccm.200310-1441OC; citation_id=CR5 citation_journal_title=J Med Genet; citation_title=International guidelines for the diagnosis and Management of Hereditary Haemorrhagic Telangiectasia; citation_author=ME Faughnan, VA Palda, G Garcia-Tsao; citation_volume=48; citation_publication_date=2011; citation_pages=73-87; citation_doi=10.1136/jmg.2009.069013; citation_id=CR6 citation_journal_title=Postgrad J Med; citation_title=Pulmonary arteriovenous malformations: a clinical review; citation_author=M Iqbal, LJ Rossoff, HN Steinberg; citation_volume=76; citation_publication_date=2000; citation_pages=390-394; citation_doi=10.1136/pmj.76.897.390; citation_id=CR7 citation_journal_title=J Intern Med; citation_title=Prevalence of pulmonary arteriovenous malformations (PAVMs) and occurrence of neurological symptoms in patients with hereditary haemorrhagic telangiectasia (HHT); citation_author=AD Kjeldsen, H Oxhøj, PE Andersen, A Green, P Vase; citation_volume=248; citation_publication_date=2000; citation_pages=255-262; citation_doi=10.1046/j.1365-2796.2000.00725.x; citation_id=CR8 citation_journal_title=J Assoc Physicians India; citation_title=Life-threatening haemothorax: a rare presentation of pulmonary arteriovenous malformation; citation_author=S Kundu, S Mitra, S Mukherjee, A Chakravotry; citation_volume=58; citation_publication_date=2010; citation_pages=695-698; citation_id=CR9 citation_journal_title=Journal of vascular and interventional radiology : JVIR; citation_title=Reperfusion of pulmonary arteriovenous malformations after embolotherapy; citation_author=A Milic, RP Chan, JH Cohen, ME Faughnan; citation_volume=16; citation_publication_date=2005; citation_pages=1675-1683; citation_doi=10.1097/01.RVI.0000182163.25493.BB; citation_id=CR10 citation_journal_title=Neurology; citation_title=Pulmonary arteriovenous malformations:cerebral ischemia and neurologic manifestations; citation_author=M Moussouttas, P Fayad, M Rosenblatt, M Hashimoto, J Pollak, K Henderson; citation_volume=55; citation_publication_date=2000; citation_pages=959-964; citation_doi=10.1212/WNL.55.7.959; citation_id=CR11 citation_journal_title=European Respiratory Journal; citation_title=Graded contrast echocardiography in pulmonary arteriovenous malformations; citation_author=J. A. Parra, J. Bueno, J. Zarauza, C. Farinas-Alvarez, J. M. Cuesta, P. Ortiz, R. Zarrabeitia, A. Perez del Molino, M. Bustamante, L. M. Botella, M. T. Delgado; citation_volume=35; citation_issue=6; citation_publication_date=2009; citation_pages=1279-1285; citation_doi=10.1183/09031936.00104309; citation_id=CR12 citation_journal_title=Cardiovasc Interv Radiol; citation_title=Microvascular plug: a new embolic material for hepatic arterial skeletonization; citation_author=O Pellerin, G Maleux, C Déan, S Pernot, J Golzarian, M Sapoval; citation_volume=37; citation_publication_date=2014; citation_pages=1597-1601; citation_doi=10.1007/s00270-014-0889-y; citation_id=CR13 citation_journal_title=J Vasc Interv Radiol; citation_title=Persistence in coil-Embolized pulmonary arteriovenous malformations with feeding artery diameters of 3 mm or less: a retrospective single-center observational study; citation_author=EJ Stein, JL Chittams, M Miller, SO Trerotola; citation_volume=28; citation_publication_date=2017; citation_pages=442-449; citation_doi=10.1016/j.jvir.2016.11.093; citation_id=CR14 citation_journal_title=Am J Roentgenol; citation_title=Does use of coils in addition to Amplatzer vascular plugs prevent recanalisation?; citation_author=S Trerotola, R Pyeritz; citation_volume=195; citation_publication_date=2010; citation_pages=766-771; citation_doi=10.2214/AJR.09.3953; citation_id=CR15