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Abstract

J Cerebrovasc Endovasc Neurosurg. 2016 18(3): 208-214
The Journal of Cerebrovascular and Endovascular Neurosurgery
      
 
Preliminary Experience with Vascular Plugs for Parent Artery Occlusion of the Carotid or Vertebral Arteries
Woosung Lee1, Yong Sam Shin2, Kyung Hyun Kim1, Yong Bae Kim1,3, Chang-Ki Hong1,3, Joonho Chung1,3,4
1Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea 2Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea 3Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul, Korea 4Department of Neurological Surgery, Rush University Medical Center, Chicago, IL, USA

Objective : The 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 Methods: Between 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. Results : The 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. Conclusion : Results from the current series suggest that the AVP might be used for therapeutic PAO in the extracranial segments of the ICA or VA.
 
Key words : Preliminary Experience with Vascular Plugs for Parent Artery Occlusion of the Carotid or Vertebral Arteries
 
 
    
 
 
 

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