Transluminal hypogastric artery occlusion with an Amplatzer vascular plug during endovascular aortic aneurysm repair

Frank Vandy, Enrique Criado, Gilbert R. Upchurch, David M. Williams, John Rectenwald, Jonathan Eliason

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objective: To evaluate our initial experience with hypogastric artery occlusion using a nitinol vascular plug during endovascular aortic aneurysm repair (EVAR). Methods: We reviewed the records and images of 23 consecutive patients who underwent transluminal vessel occlusion of the hypogastric artery with a nitinol plug, as well as a cohort of 19 patients who underwent hypogastric artery embolization with coils in conjunction with EVAR. Results: There were no demographic differences between the two groups of patients. Hypogastric artery occlusion was successful in all cases when a nitinol vascular plug was used. When coils were used, there was one unsuccessful embolization which required a second procedure. The number of embolic devices used in the coil group was 7.53 (range, three to 13) compared with 1.35 (range, one to six) in the plug group (P < .05). Only one plug was used in 19 of 23 cases. The average cost to embolize per hypogastric artery was $1,496 compared with $470 when a nitinol plug was used. There were two instances of coil migration. No other intraoperative complications occurred. At one month follow up, seven patients (35%) in the coil group complained of buttock claudication compared with two patients (9%) in the nitinol plug group (P = .027). Conclusion: Our experience demonstrates the safety and effectiveness of the nitinol vascular plug for hypogastric artery occlusion during EVAR. When compared with coils for hypogastric embolization during EVAR, nitinol vascular plugs are less expensive, produce less technical complications, and are associated with a significantly lower incidence of gluteal claudication.

Original languageEnglish (US)
Pages (from-to)1121-1124
Number of pages4
JournalJournal of Vascular Surgery
Volume48
Issue number5
DOIs
StatePublished - Nov 1 2008

Fingerprint

Aortic Aneurysm
Blood Vessels
Arteries
Buttocks
Intraoperative Complications
nitinol
Demography
Safety
Costs and Cost Analysis
Equipment and Supplies
Incidence

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Transluminal hypogastric artery occlusion with an Amplatzer vascular plug during endovascular aortic aneurysm repair. / Vandy, Frank; Criado, Enrique; Upchurch, Gilbert R.; Williams, David M.; Rectenwald, John; Eliason, Jonathan.

In: Journal of Vascular Surgery, Vol. 48, No. 5, 01.11.2008, p. 1121-1124.

Research output: Contribution to journalArticle

Vandy, Frank ; Criado, Enrique ; Upchurch, Gilbert R. ; Williams, David M. ; Rectenwald, John ; Eliason, Jonathan. / Transluminal hypogastric artery occlusion with an Amplatzer vascular plug during endovascular aortic aneurysm repair. In: Journal of Vascular Surgery. 2008 ; Vol. 48, No. 5. pp. 1121-1124.
@article{20c02fcc3ce646fca72552999eb871ae,
title = "Transluminal hypogastric artery occlusion with an Amplatzer vascular plug during endovascular aortic aneurysm repair",
abstract = "Objective: To evaluate our initial experience with hypogastric artery occlusion using a nitinol vascular plug during endovascular aortic aneurysm repair (EVAR). Methods: We reviewed the records and images of 23 consecutive patients who underwent transluminal vessel occlusion of the hypogastric artery with a nitinol plug, as well as a cohort of 19 patients who underwent hypogastric artery embolization with coils in conjunction with EVAR. Results: There were no demographic differences between the two groups of patients. Hypogastric artery occlusion was successful in all cases when a nitinol vascular plug was used. When coils were used, there was one unsuccessful embolization which required a second procedure. The number of embolic devices used in the coil group was 7.53 (range, three to 13) compared with 1.35 (range, one to six) in the plug group (P < .05). Only one plug was used in 19 of 23 cases. The average cost to embolize per hypogastric artery was $1,496 compared with $470 when a nitinol plug was used. There were two instances of coil migration. No other intraoperative complications occurred. At one month follow up, seven patients (35{\%}) in the coil group complained of buttock claudication compared with two patients (9{\%}) in the nitinol plug group (P = .027). Conclusion: Our experience demonstrates the safety and effectiveness of the nitinol vascular plug for hypogastric artery occlusion during EVAR. When compared with coils for hypogastric embolization during EVAR, nitinol vascular plugs are less expensive, produce less technical complications, and are associated with a significantly lower incidence of gluteal claudication.",
author = "Frank Vandy and Enrique Criado and Upchurch, {Gilbert R.} and Williams, {David M.} and John Rectenwald and Jonathan Eliason",
year = "2008",
month = "11",
day = "1",
doi = "10.1016/j.jvs.2008.06.002",
language = "English (US)",
volume = "48",
pages = "1121--1124",
journal = "Journal of Vascular Surgery",
issn = "0741-5214",
publisher = "Mosby Inc.",
number = "5",

}

TY - JOUR

T1 - Transluminal hypogastric artery occlusion with an Amplatzer vascular plug during endovascular aortic aneurysm repair

AU - Vandy, Frank

AU - Criado, Enrique

AU - Upchurch, Gilbert R.

AU - Williams, David M.

AU - Rectenwald, John

AU - Eliason, Jonathan

PY - 2008/11/1

Y1 - 2008/11/1

N2 - Objective: To evaluate our initial experience with hypogastric artery occlusion using a nitinol vascular plug during endovascular aortic aneurysm repair (EVAR). Methods: We reviewed the records and images of 23 consecutive patients who underwent transluminal vessel occlusion of the hypogastric artery with a nitinol plug, as well as a cohort of 19 patients who underwent hypogastric artery embolization with coils in conjunction with EVAR. Results: There were no demographic differences between the two groups of patients. Hypogastric artery occlusion was successful in all cases when a nitinol vascular plug was used. When coils were used, there was one unsuccessful embolization which required a second procedure. The number of embolic devices used in the coil group was 7.53 (range, three to 13) compared with 1.35 (range, one to six) in the plug group (P < .05). Only one plug was used in 19 of 23 cases. The average cost to embolize per hypogastric artery was $1,496 compared with $470 when a nitinol plug was used. There were two instances of coil migration. No other intraoperative complications occurred. At one month follow up, seven patients (35%) in the coil group complained of buttock claudication compared with two patients (9%) in the nitinol plug group (P = .027). Conclusion: Our experience demonstrates the safety and effectiveness of the nitinol vascular plug for hypogastric artery occlusion during EVAR. When compared with coils for hypogastric embolization during EVAR, nitinol vascular plugs are less expensive, produce less technical complications, and are associated with a significantly lower incidence of gluteal claudication.

AB - Objective: To evaluate our initial experience with hypogastric artery occlusion using a nitinol vascular plug during endovascular aortic aneurysm repair (EVAR). Methods: We reviewed the records and images of 23 consecutive patients who underwent transluminal vessel occlusion of the hypogastric artery with a nitinol plug, as well as a cohort of 19 patients who underwent hypogastric artery embolization with coils in conjunction with EVAR. Results: There were no demographic differences between the two groups of patients. Hypogastric artery occlusion was successful in all cases when a nitinol vascular plug was used. When coils were used, there was one unsuccessful embolization which required a second procedure. The number of embolic devices used in the coil group was 7.53 (range, three to 13) compared with 1.35 (range, one to six) in the plug group (P < .05). Only one plug was used in 19 of 23 cases. The average cost to embolize per hypogastric artery was $1,496 compared with $470 when a nitinol plug was used. There were two instances of coil migration. No other intraoperative complications occurred. At one month follow up, seven patients (35%) in the coil group complained of buttock claudication compared with two patients (9%) in the nitinol plug group (P = .027). Conclusion: Our experience demonstrates the safety and effectiveness of the nitinol vascular plug for hypogastric artery occlusion during EVAR. When compared with coils for hypogastric embolization during EVAR, nitinol vascular plugs are less expensive, produce less technical complications, and are associated with a significantly lower incidence of gluteal claudication.

UR - http://www.scopus.com/inward/record.url?scp=55049131010&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=55049131010&partnerID=8YFLogxK

U2 - 10.1016/j.jvs.2008.06.002

DO - 10.1016/j.jvs.2008.06.002

M3 - Article

C2 - 18692350

AN - SCOPUS:55049131010

VL - 48

SP - 1121

EP - 1124

JO - Journal of Vascular Surgery

JF - Journal of Vascular Surgery

SN - 0741-5214

IS - 5

ER -