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Collateral closure in congenital heart defects with Amplatzer vascular plugs: Single-center experience and a simplified delivery technique for exceptional cases

Heart and Vessels Jul 29, 2018

Kubicki R, et al. - Researchers report their experience with Amplatzer Vascular Plugs (AVP2 and 4) and assess a better telescopic technique for AVP2 delivery. All congenital heart disease (CHD) patients treated with the AVP2 and AVP4 between December 2012 and December 2015 were retrospectively analyzed. They identify AVPs as excellent devices for embolizing shunt vessels in CHD patients. They frequently used a modified pigtail technique for AVP2 delivery: a floppy wire was simply reinforced by the curved tip of a pigtail catheter (instead of the long sheath’s dilator) to guide the required delivery sheath towards the desired landing zone. The simplified telescoping technique for AVP2 delivery provides a gentle and efficient approach to enter curvy target lesions.

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