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Percutaneous occlusion of vascular malformations with Penumbra Coils
Session:
Posters (Sessão 3 - Écran 7) - Intervenção em cardiopatias congénitas
Speaker:
Petra Loureiro
Congress:
CPC 2023
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
20. Congenital Heart Disease and Pediatric Cardiology
Subtheme:
20.4 Congenital Heart Disease – Treatment
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Petra Loureiro; António Fiarresga; Lidia de Sousa; José Diogo Ferreira Martins
Abstract
<p>BACKGROUND: <br /> Percutaneous vessel embolization is usually the preferred treatment method to close congenital or acquired vessel connections. Penumbra have three type of large volume coils (POD ® , Ruby ® and Packing), deliverable through low profile microcatheters, available in sizes as small as 1 mm in diameter and lengths up to 60 cm, with a controlled delivery system witch make it particularly interesting for the occlusion of VM.</p> <p>OBJECTIVE: A case series on different vascular malformations (VM) treated with Penumbra Coils in children and adults is presented.</p> <p>METHODS: Retrospective analysis of all patients who underwent percutaneous occlusion of VM with Penumbra Coils in a single center. Clinical and angiographic data, procedural details, implanted devices, and complications were assessed. Procedural success was defined as effective device deployment with none or minimal residual flow.</p> <p>RESULTS: A total of 7 VM were intervened in 6 patients with median age of 22 years (0.5 - 62 years). The VM included 4 aortopulmonary collaterals, 1 pulmonary arteriovenous fistulae, 1 vertical vein and 1 coronary fistulae. The 11 devices used included 5 POD ® ,4 Packing coils and 2 Ruby ® coils. Successful occlusion was achieved in 7 (100%) VM. Any clinically relevant complication occurred.</p> <p>CONCLUSION: To our knowledge, this is the largest series on different VM occluded percutaneously with Penumbra Coils in children and adults. Percutaneous occlusion was effective and safe. The use of longer and larger volume coils, potentially reduced the procedural time and the total number of devices required.</p>
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