Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term Outcomes
The Micro Vascular Plug<sup>®</sup> (MVP, Medtronic) is a mechanical embolic agent available in small sizes that allows for distal embolisation. The objective of this retrospective observational single-centre study was to assess MVP embolisation procedures performed at a university hospi...
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MDPI AG
2023-08-01
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| Series: | Biomedicines |
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| Online Access: | https://www.mdpi.com/2227-9059/11/8/2172 |
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| author | Rémy Mailli Olivier Chevallier Amin Mazit Alexandre Malakhia Nicolas Falvo Romaric Loffroy |
| author_facet | Rémy Mailli Olivier Chevallier Amin Mazit Alexandre Malakhia Nicolas Falvo Romaric Loffroy |
| author_sort | Rémy Mailli |
| collection | DOAJ |
| description | The Micro Vascular Plug<sup>®</sup> (MVP, Medtronic) is a mechanical embolic agent available in small sizes that allows for distal embolisation. The objective of this retrospective observational single-centre study was to assess MVP embolisation procedures performed at a university hospital. The 33 patients who underwent MVP embolisation in 2021 were included (mean age, 64; 24 males and 9 females). The primary endpoint was technical success, which was defined as a full first-attempt occlusion with one or more MVPs, as documented on the end-of-procedure angiogram. In all patients, 51 MVPs were used overall, with other embolic agents in 23 of the 33 cases (usually coils and/or glue); 22 of the 33 procedures were emergent for bleeding and 11 were planned for other indications. Of the three technical failures, two were due to an angled target artery configuration precluding microcatheterisation and one to failure of the device to release from its wire. The technical success rate was thus 90.9%. No patient experienced MVP migration or other major complications. Five patients had recurrent clinical symptoms; in four cases, the cause was collateral development, and in one case, the cause was incomplete initial embolisation. No instances of recanalisation were documented during the short follow-up of 12 months, for a 100% secondary clinical success rate. At our tertiary-level centre, the MVP was both effective and safe for peripheral applications. Interventional radiologists should be conversant with the techniques and indications of MVP embolisation. |
| first_indexed | 2024-03-11T00:06:26Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-11T00:06:26Z |
| publishDate | 2023-08-01 |
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| series | Biomedicines |
| spelling | doaj.art-5a5c09e3d16a4261ad229f118bc1ce452023-11-19T00:20:26ZengMDPI AGBiomedicines2227-90592023-08-01118217210.3390/biomedicines11082172Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term OutcomesRémy Mailli0Olivier Chevallier1Amin Mazit2Alexandre Malakhia3Nicolas Falvo4Romaric Loffroy5Department of Vascular and Interventional Radiology, Image-Guided Therapy Center, Francois-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceDepartment of Vascular and Interventional Radiology, Image-Guided Therapy Center, Francois-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceDepartment of Vascular and Interventional Radiology, Image-Guided Therapy Center, Francois-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceDepartment of Vascular and Interventional Radiology, Image-Guided Therapy Center, Francois-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceDepartment of Vascular and Interventional Radiology, Image-Guided Therapy Center, Francois-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceDepartment of Vascular and Interventional Radiology, Image-Guided Therapy Center, Francois-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceThe Micro Vascular Plug<sup>®</sup> (MVP, Medtronic) is a mechanical embolic agent available in small sizes that allows for distal embolisation. The objective of this retrospective observational single-centre study was to assess MVP embolisation procedures performed at a university hospital. The 33 patients who underwent MVP embolisation in 2021 were included (mean age, 64; 24 males and 9 females). The primary endpoint was technical success, which was defined as a full first-attempt occlusion with one or more MVPs, as documented on the end-of-procedure angiogram. In all patients, 51 MVPs were used overall, with other embolic agents in 23 of the 33 cases (usually coils and/or glue); 22 of the 33 procedures were emergent for bleeding and 11 were planned for other indications. Of the three technical failures, two were due to an angled target artery configuration precluding microcatheterisation and one to failure of the device to release from its wire. The technical success rate was thus 90.9%. No patient experienced MVP migration or other major complications. Five patients had recurrent clinical symptoms; in four cases, the cause was collateral development, and in one case, the cause was incomplete initial embolisation. No instances of recanalisation were documented during the short follow-up of 12 months, for a 100% secondary clinical success rate. At our tertiary-level centre, the MVP was both effective and safe for peripheral applications. Interventional radiologists should be conversant with the techniques and indications of MVP embolisation.https://www.mdpi.com/2227-9059/11/8/2172embolisationmicrovascular plugperipheral applicationsoutcomes |
| spellingShingle | Rémy Mailli Olivier Chevallier Amin Mazit Alexandre Malakhia Nicolas Falvo Romaric Loffroy Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term Outcomes Biomedicines embolisation microvascular plug peripheral applications outcomes |
| title | Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term Outcomes |
| title_full | Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term Outcomes |
| title_fullStr | Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term Outcomes |
| title_full_unstemmed | Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term Outcomes |
| title_short | Embolisation Using Microvascular Plugs for Peripheral Applications: Technical Results and Mid-Term Outcomes |
| title_sort | embolisation using microvascular plugs for peripheral applications technical results and mid term outcomes |
| topic | embolisation microvascular plug peripheral applications outcomes |
| url | https://www.mdpi.com/2227-9059/11/8/2172 |
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