Ahmad Fawad, Mohammad Asad Shamsher, Saadia Ilyas, Bakhtawar Gul Wazir, Mian Noshad Kakakhel, Asif Malik.
Peripheral vascular embolization via amplatzer vascular plug-4. preliminary experience.
Pak Heart J Jan ;51(2):109-13.

Objective: To describe our preliminary experience and feasibility and effectiveness of AMPLATZER Vascular Plug 4 (AVP-4) in peripheral vascular embolization. Methodology: This cross sectional study consisted of all patients who underwent catheter embolization with Amplatzer vascular plug 4(AVP-4)between March 2012 and January 2018 at two centers (Northwest General Hospital, Peshawar and Institute of Kidneys Diseases, Peshawar). AVP-4 is being presented. The device was chosen 30-50% greater than target vessel. Device was delivered via an appropriate angiographic catheter and was released when satisfactory position achieved. All data was recorded on preformed proforma. Results: Total 30 patients were recorded. Mean age was 40 2 years.Predominant indication was Renal cell carcinoma with target vessel main renal artery (60%).Second common indication was post op bleeding with target vessel branch renal artery (23.3%). All cases were successfully embolized. Conclusion: AVP-4 is safe and effective embolic agent that can be used in peripheral arterial embolization in different clinical settings.

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