Endovascular Embolization of a Large High-Flow Splenic Arteriovenous Fistula and Aneurysm Using the Amplatzer Vascular Plug II

Mario D'Amico, Roberto Miraglia, Settimo Caruso, Luigi Maruzzelli, Kelvin Cortis, Angelo Luca

Research output: Contribution to journalArticlepeer-review

Abstract

We describe the use of an Amplatzer Vascular Plug (AVP) II for embolizing a large high-flow splenic arteriovenous fistula and an aneurysm in a young patient. This patient presented to our center with persistent mild abdominal discomfort, 5 years after open splenectomy. Contrast-enhanced computed tomography angiography showed the presence of a fistula between the splenic arterial and splenic venous remnants and a resultant fusiform aneurysmal dilatation of the residual splenic vein. We decide to embolize the splenic artery with a 12-mm diameter AVP II with an oversizing by 70% of the vessel diameter. Celiac angiography performed 5 min postembolization revealed complete obliteration of the splenic artery and closure of the arteriovenous fistula. The overall procedure time was 40 min, and overall radiation exposure was 32 Gy cm2 (dose-area product).

Original languageEnglish
JournalAnnals of Vascular Surgery
DOIs
Publication statusPublished - Feb 2016

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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