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

Authors
 Woosung Lee  ;  Yong Sam Shin  ;  Kyung Hyun Kim  ;  Yong Bae Kim  ;  Chang-Ki Hong  ;  Joonho Chung 
Citation
 Journal of Cerebrovascular and Endovascular Neurosurgery, Vol.18(3) : 208-214, 2016 
Journal Title
 Journal of Cerebrovascular and Endovascular Neurosurgery 
ISSN
 2234-8565 
Issue Date
2016
Keywords
Amplatzer vascular plug ; Carotid artery occlusion ; Endovascular treatment ; Parent artery occlusion ; Vertebral artery occlusion
Abstract
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.
Files in This Item:
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DOI
10.7461/jcen.2016.18.3.208
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Hyun(김경현)
Kim, Yong Bae(김용배) ORCID logo https://orcid.org/0000-0003-2262-7157
Lee, Woo Sung(이우성)
Chung, Joon Ho(정준호)
Hong, Chang Ki(홍창기)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152355
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