Complications in transcatheter closure of congenital portosystemic venous shunt using Amplatzer Vascular Plug

Jun Muneuchi; Ryohei Matsuoka; Yusaku Nagatomo; Chiaki Iida; Seigo Okada; Hiromitsu Shirouzu; Mamie Watanabe

doi:10.1016/j.epsc.2017.07.017

Complications in transcatheter closure of congenital portosystemic venous shunt using Amplatzer Vascular Plug

Jun Muneuchi, Ryohei Matsuoka, Yusaku Nagatomo, Chiaki Iida, Seigo Okada, Hiromitsu Shirouzu, Mamie Watanabe

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Amplatzer Vascular Plug (AVP) has been utilized to occlude a congenital portosystemic venous shunt (CPSVS) that is a rare splanchnic venous anomaly. We present a case of a 12-year-old boy in whom device migration and portal vein thrombosis occurred after transcatheter closure of CPSVS using AVP type2. We reviewed the published literatures regarding with complications of CPSVS closure using AVP. Among 23 patients, we identified 5 complications including hypovolemic shock, hypoxia, liver dysfunction, device migration, and thrombosis. It is recommended to choose a device more than twice the diameter of the shunt, and to treat with an anticoagulant after closure.

Original language	English
Pages (from-to)	34-39
Number of pages	6
Journal	Journal of Pediatric Surgery Case Reports
Volume	25
DOIs	https://doi.org/10.1016/j.epsc.2017.07.017
Publication status	Published - Oct 2017
Externally published	Yes

All Science Journal Classification (ASJC) codes

Pediatrics, Perinatology, and Child Health
Surgery

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10.1016/j.epsc.2017.07.017

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title = "Complications in transcatheter closure of congenital portosystemic venous shunt using Amplatzer Vascular Plug",

abstract = "Amplatzer Vascular Plug (AVP) has been utilized to occlude a congenital portosystemic venous shunt (CPSVS) that is a rare splanchnic venous anomaly. We present a case of a 12-year-old boy in whom device migration and portal vein thrombosis occurred after transcatheter closure of CPSVS using AVP type2. We reviewed the published literatures regarding with complications of CPSVS closure using AVP. Among 23 patients, we identified 5 complications including hypovolemic shock, hypoxia, liver dysfunction, device migration, and thrombosis. It is recommended to choose a device more than twice the diameter of the shunt, and to treat with an anticoagulant after closure.",

author = "Jun Muneuchi and Ryohei Matsuoka and Yusaku Nagatomo and Chiaki Iida and Seigo Okada and Hiromitsu Shirouzu and Mamie Watanabe",

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T1 - Complications in transcatheter closure of congenital portosystemic venous shunt using Amplatzer Vascular Plug

AU - Muneuchi, Jun

AU - Matsuoka, Ryohei

AU - Nagatomo, Yusaku

AU - Iida, Chiaki

AU - Okada, Seigo

AU - Shirouzu, Hiromitsu

AU - Watanabe, Mamie

PY - 2017/10

Y1 - 2017/10

N2 - Amplatzer Vascular Plug (AVP) has been utilized to occlude a congenital portosystemic venous shunt (CPSVS) that is a rare splanchnic venous anomaly. We present a case of a 12-year-old boy in whom device migration and portal vein thrombosis occurred after transcatheter closure of CPSVS using AVP type2. We reviewed the published literatures regarding with complications of CPSVS closure using AVP. Among 23 patients, we identified 5 complications including hypovolemic shock, hypoxia, liver dysfunction, device migration, and thrombosis. It is recommended to choose a device more than twice the diameter of the shunt, and to treat with an anticoagulant after closure.

AB - Amplatzer Vascular Plug (AVP) has been utilized to occlude a congenital portosystemic venous shunt (CPSVS) that is a rare splanchnic venous anomaly. We present a case of a 12-year-old boy in whom device migration and portal vein thrombosis occurred after transcatheter closure of CPSVS using AVP type2. We reviewed the published literatures regarding with complications of CPSVS closure using AVP. Among 23 patients, we identified 5 complications including hypovolemic shock, hypoxia, liver dysfunction, device migration, and thrombosis. It is recommended to choose a device more than twice the diameter of the shunt, and to treat with an anticoagulant after closure.

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Complications in transcatheter closure of congenital portosystemic venous shunt using Amplatzer Vascular Plug

Abstract

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