Patent ductus arteriosus closure using the amplatzer® vascular plug II for all anatomic variants

Delaney, Jeffrey W.; Fletcher, Scott E.

doi:10.1002/ccd.24707

Cited by 38 publications

(49 citation statements)

References 30 publications

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“…This experience demonstrates that the AVPII is an effective and safe device to be used for PDA closure. The closure rate was as higher or better as reported for the regular ADO device and this has also been reported by others using the AVPII . In our own experience, the closure was routinely demonstrated before the patients leave the catheterization laboratory.…”

Section: Discussionsupporting

confidence: 84%

“…) were considered to be not ideal to be closed using a regular ADO or ADO II devices. Implantation of AVP II device demonstrated to be particularly useful when addressing the closure of PDA with these nonclassic morphologies and that has been also recently reported by others . It seems to us that this device fits remarkably well inside the ductal ampula particularly in tubular or elongated shape PDA filling it to obtain the occlusion.…”

Section: Discussionsupporting

confidence: 60%

“…The US FDA approved its use in 2007 for closure of vascular malformations . The device has been used off‐label to close PDAs; however, the experience was limited …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of the Amplatzer Vascular Plug II Device to Occlude Different Types of Patent Ductus Arteriosus in Pediatric Patients

Garay

Aguirre

Rey

et al. 2015

J Interven Cardiology

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 60%

See 1 more Smart Citation

Use of the Amplatzer Vascular Plug II Device to Occlude Different Types of Patent Ductus Arteriosus in Pediatric Patients

Garay

Aguirre

Rey

et al. 2015

J Interven Cardiology

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“…Recently, AVP II was successfully used to close all types of PDAs in infants. [21] AVPs may emerge as more cost-effective devices for PDAs as compared to the ADO, especially in tubular PDA, which is not suitable to be closed by the duct occluder. [2]…”

Section: Discussionmentioning

confidence: 99%

Amplatzer vascular plugs in congenital cardiovascular malformations

et al. 2013

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Background:Amplatzer vascular plugs (AVPs) are devices ideally suited to close medium-to-large vascular communications. There is limited published literature regarding the utility of AVPs in congenital cardiovascular malformations (CCVMs).Aims:To describe the use of AVPs in different CCVMs and to evaluate their safety and efficacy.Materials and Methods:All patients who required an AVP for the closure of CCVM were included in this retrospective review of our catheterization laboratory data. The efficacy and safety of AVPs are reported.Results:A total of 39 AVPs were implanted in 31 patients. Thirteen (33%) were AVP type I and 23 (59%) were AVP type II. AVP type III were implanted in two patients and type IV in one patient. The major indications for their use included closure of pulmonary arteriovenous malformation (AVM) (n = 7), aortopulmonary collaterals (n = 7), closure of a patent Blalock-Taussig shunt (n = 5), systemic AVM (n = 5), coronary AVM (n = 4), patent ductus arteriosus (PDA) (n = 3), pulmonary artery aneurysms (n = 3), and venovenous collaterals (n = 2). Deployment of the AVP was done predominantly via the 5 – 7F Judkin's right coronary guide catheter. Overall 92% of the AVPs could be successfully deployed and resulted in occlusion of the target vessel in all cases, within 10 minutes. No procedure-related or access site complication occurred.Conclusions:AVPs are versatile, easy to use, and effective devices to occlude the vascular communications in a variety of settings. AVP II is especially useful in the closure of tubular structures with a high flow.

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“…However, caution should be exercised when using oversized devices for PVLs because of their tendency to elongate: proximal and distal discs tend to tilt toward the LV outflow tract and aorta, respectively, which raises the possibility of their obstructing the coronary arteries. 8 It should be noted that these Amplatzer vascular plug II devices can be delivered through smaller sheaths (5F or 6F)-an important advantage over septal occluder devices.…”

Section: Fig 7 At the 2-year Follow-up Evaluation Transthoracic Echmentioning

confidence: 99%

Combined Retrograde/Antegrade Approach to Transcatheter Closure of an Aortic Paravalvular Leak

Damluji

Kaynak

Heldman

2015

Texas Heart Institute Journal

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New interventional techniques have made transcatheter closure of aortic paravalvular leaks a viable therapeutic option to treat the sequelae of these defects, including congestive heart failure and hemolysis. We report the transcatheter closure of an aortic paravalvular leak via a combined retrograde/antegrade approach. This was necessary because of difficulty in crossing the defect with a sheath from the retrograde approach. This technique might be useful in application to other difficult structural heart interventions. To our knowledge, this is the first report of a treated paravalvular leak around a Mitroflow® Aortic Pericardial Heart Valve.

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Patent ductus arteriosus closure using the amplatzer® vascular plug II for all anatomic variants

Abstract: We report the largest experience with the AVPII for PDA closure. The device was used in all morphologic types and small patients. It is low profile, easily repositioned, and had excellent results without complications. We contend that this is the most versatile device currently available.

Cited by 38 publications

References 30 publications

Use of the Amplatzer Vascular Plug II Device to Occlude Different Types of Patent Ductus Arteriosus in Pediatric Patients

Use of the Amplatzer Vascular Plug II Device to Occlude Different Types of Patent Ductus Arteriosus in Pediatric Patients

Amplatzer vascular plugs in congenital cardiovascular malformations

Combined Retrograde/Antegrade Approach to Transcatheter Closure of an Aortic Paravalvular Leak

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