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Benefit of vessel closure with the Azur CX Peripheral Coil System in small children with complex CHD

Published online by Cambridge University Press:  11 May 2020

Petra Loureiro*
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Hospital de Santa Marta, Nova University Lisbon, Lisbon, Portugal
Peter Ewert
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Munich, Germany
Andreas Eicken
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, Munich, Germany
*
Author for correspondence: Petra Loureiro, MD, Department of Pediatric Cardiology and Congenital Heart Disease, Hospital de Santa Marta – Centro Hospitalar Lisboa Central-EPE, Lisboa, Rua de Santa Marta, 1169-024Lisbon, Portugal. Tel: +35 1213594332; Fax: +35 1213594034. E-mail: petra.loureiro@gmail.com

Abstract

Vessel occlusion is a frequently used procedure to close congenital or acquired collaterals or communications. We report two cases of successful vessel closure, in small infants with CHD, using the Azur CX Peripheral Coil System. The low profile of the device, the controlled delivery of the coils, and the delivery through a microcatheter make it particularly interesting for the occlusion of highly tortuous vessels in children.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

White, PM, Lewis, SC, Nahser, H, Sellar, RJ, Goddard, T, Gholkar, A.HydroCoil Endovascular Aneurysm Occlusion and Packing Study (HELPS trial): procedural safety and operator-assessed efficacy results. AJNR Am J Neuroradiol 2008; 29: 217223.10.3174/ajnr.A0936CrossRefGoogle ScholarPubMed
Gunnarsson, T, Tong, FC, Klurfan, P, Cawley, CM, Dion, JE.Angiographic and clinical outcomes in 200 consecutive patients with cerebral aneurysm treated with hydrogel-coated coils. AJNR Am J Neuroradiol 2009; 30: 16571664.CrossRefGoogle ScholarPubMed
Goldstein, BH, Aiyagari, R, Bocks, ML, Armstrong, AK.Hydrogel expandable coils for vascular occlusion in congenital cardiovascular disease: a single center experience. Congenit Heart Dis 2012; 7: 212218.CrossRefGoogle ScholarPubMed
Ebaugh, JL, Chew, DK.Coil embolization of an acutely expanding spontaneous splenic artery dissection. J Vasc Surg Cases Innov Tech 2018; 4: 144146.CrossRefGoogle ScholarPubMed
Bhat, AP, Schuchardt, PA, Bhat, R, Davis, RM, Singh, S.Metastatic appendiceal cancer treated with Yttrium 90 radioembolization and systemic chemotherapy: a case report. Word J Radiol 2019; 11: 116125.10.4329/wjr.v11.i9.116CrossRefGoogle ScholarPubMed
Harmon, TS, Kaleka, G, Maciolek, LM, et al.Becoming the standard: expanding the conventional use of interventional embolization for ruptured pulmonary artery aneurysms. Cureus 2018; 10: e3576.Google ScholarPubMed
Schwartz, M, Glatz, AC, Rome, JJ, Gillespie, MJ.The Amplatzer vascular plug and Amplatzer vascular plug II for vascular occlusion procedures in 50 patients with congenital heart disease. Catheter Cardiovasc Interv 2010; 76: 411417.CrossRefGoogle Scholar
Sathanandam, S, Justino, H, Waller, BR 3rd, Gowda, ST, Radtke, W, Qureshi, AM. The Medtronic micro vascular plug for vascular embolization in children with congenital heart diseases. J Interv Cardiol 2017; 30: 177184.10.1111/joic.12369CrossRefGoogle ScholarPubMed
AngioCalc LLC – Cerebral and Peripheral Aneurysm Calculator. Retrieved January 12, 2020 from http://www.angiocalc.comGoogle Scholar
Fohlen, A, Namur, J, Ghegediban, H, Laurent, A, Wassef, M, Pelage, JP.Midterm recanalization after arterial embolization using hydrogel-coated coils versus fibered coils in an animal model. J Vasc Interv Radiol 2019; 30: 940948.CrossRefGoogle ScholarPubMed