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Percutaneous Occlusion of Vascular Malformations in Pediatric and Adult Patients: 20-Year Experience of a Single Center

2016-02-01Journal article Open access
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dc.contributor.authorPereira-da-Silva, T
dc.contributor.authorMartins, JD
dc.contributor.authorSousa, L
dc.contributor.authorFiarresga, A
dc.contributor.authorTrigo Pereira, C
dc.contributor.authorCruz Ferreira, R
dc.contributor.authorPinto, MF
dc.date.accessioned2017-05-24T14:33:19Z
dc.date.available2017-05-24T14:33:19Z
dc.date.issued2016-02-01
dc.description.abstractOBJECTIVE: A case series on different vascular malformations (VM) treated with percutaneous occlusion in children and adults is presented. BACKGROUND: Percutaneous occlusion is usually the preferred treatment method for VM. Previous series have mostly focused on single types of devices and/or VM. METHODS: Retrospective analysis of all patients who underwent percutaneous occlusion of VM in a single center, from 1995 to 2014, excluding patent ductus arteriosus. 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. Predictors of procedural failure and complications were determined by multivariate analysis. RESULTS: A total of 123 VM were intervened in 47 patients with median age of 12 years (25 days-76 years). The VM included 55 pulmonary arteriovenous fistulae, 39 aortopulmonary collaterals, 10 systemic venovenous collaterals, 8 peripheral arteriovenous fistulae, 5 Blalock-Taussig shunts, 4 coronary fistulae, and 2 Fontan fenestrations. The 143 devices used included 80 vascular plugs, 38 coils, 22 duct occluders, and 3 foramen ovale or atrial septal defect occluders. Median vessel size was 4.5 (2.0-16.0) mm and device/vessel size ratio was 1.4 (1.1-2.0). Successful occlusion was achieved in 118 (95.9%) VM, including three reinterventions. Four (3.3%) clinically relevant complications occurred, without permanent sequelae. Lower body weight was independently associated with procedural failure and complications. CONCLUSION: To our knowledge, this is the largest series on different VM occluded percutaneously in children and adults, excluding patent ductus arteriosus. Percutaneous occlusion was effective and safe, using different devices.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCatheter Cardiovasc Interv. 2016 Feb 1;87(2):E62-8.pt_PT
dc.identifier.doi10.1002/ccd.26220pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2685
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.subjectAdolescentpt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectChi-Square Distributionpt_PT
dc.subjectChildpt_PT
dc.subjectChild, Preschoolpt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectInfantpt_PT
dc.subjectInfant, Newbornpt_PT
dc.subjectLogistic Modelspt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectMultivariate Analysispt_PT
dc.subjectPortugalpt_PT
dc.subjectProsthesis Designpt_PT
dc.subjectRetreatmentpt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectTime Factorspt_PT
dc.subjectTreatment Outcomept_PT
dc.subjectVascular Malformationspt_PT
dc.subjectYoung Adultpt_PT
dc.subjectEndovascular Procedurespt_PT
dc.subjectHSM CARpt_PT
dc.subjectHSM CAR PEDpt_PT
dc.titlePercutaneous Occlusion of Vascular Malformations in Pediatric and Adult Patients: 20-Year Experience of a Single Centerpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPageE68pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPageE62pt_PT
oaire.citation.titleCatheterization and Cardiovascular Interventionspt_PT
oaire.citation.volume87pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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