OJRad  Vol.1 No.2 , December 2011
Amplatzer Plugs versus Coil Embolization of the Hypogastric Artery Prior to Endovascular Aortic Aneurysm Repair: Differences in Quality of Life
ABSTRACT
Purpose: To determine if there were differences in quality of life (QOL) within the first year following EVAR for patients undergoing internal iliac embolization depending on the type of device used. Methods: Patients who underwent endovascular AAA repair were identified using a Vascular surgery database at a tertiary care center from 2002-2008. The Radiology Information System and Image Viewer were then used to identify patients who underwent preprocedural embolization prior to endovascular aneurysm repair. Nine patients had embolization with nester coils, 9 had embolization with the amplatzer vascular plug, a type of nitinol based self expanding device. Another group of 8 patients who did not undergo preprocedural embolization was used as a comparator group. These patients were contacted via telephone and answered questions regarding QOL post procedure. The Australian Vascular QOL was the tool used to measure QOL. Differences in QOL were tabulated between the groups of patients. Results: Of the 9 patients who underwent embolization with amplatzer plug, the median QOL score was 60 (p value 0.575), the median QOL for the nester coil group was 52.5 and the comparator group was 58. Separate analysis was done dividing patients into two groups, with and without comorbidities without statistical significance. Conclusion: Patients who underwent preprocedural embolization using amplatzer plugs compared to coils had higher overall QOL scores although the difference was not significant.

Cite this paper
nullKhan, L. , Rajan, D. , Tan, K. and Lindsay, T. (2011) Amplatzer Plugs versus Coil Embolization of the Hypogastric Artery Prior to Endovascular Aortic Aneurysm Repair: Differences in Quality of Life. Open Journal of Radiology, 1, 38-44. doi: 10.4236/ojrad.2011.12006.
References
[1]   C. Ha and D. Calgano, “Amplatzer Vascular Plug to Occlude the Internal Iliac Arteries in Patients Undergoing Aortoiliac Aneurysm Repair,” Journal of Vascular Surgery, Vol. 42, No. 6, 2005, pp. 1058-1062.

[2]   M. Armon, P. Wenham, S. Whitaker, R. Gregson and B. Hopkinson, “Common Iliac Artery Aneurysms in Patients with Abdominal Aortic Aneurysms,” European Journal of Vascular and Endovascular Surgery, Vol. 15, No. 3, 1998, pp. 255-257.

[3]   F. Criado, “Iliac Bifurcation Relocation: More Complex and Controversial,” Journal of Endovascular Surgery, Vol. 6, No. 4, 1999, pp. 348-349.

[4]   L. A. Karch, K. J. Hodgson, M. A. Mattos, W. T. Bo- hannon, D. E. Ramsey and R. B. Mclafferty, “Adverse Consequences of Internal Iliac Artery Occlusion during Endovascular Repair of Abdominal Aortic Aneurysms,” Journal of Vascular Surgery, Vol. 32, No. 4, 2000, pp. 676-683.

[5]   B. Marty, C. Perrouchould, S. Wicky, L. Guilou and L. K. Von Segesser, “Atheroembolization: A Harmful Complication of therapeutic Internal Iliac Artery Occlusion,” Journal of Vascular Surgery, Vol. 35, No. 5, 2002, pp. 1062-1065.

[6]   K. Borchard, P. Hewitt, S. Wotherspoon and A. R. Scott, “Australian Vascular Quality of Life Index (AUSVI- QUOL): A Pilot Study of a Disease-Specific Quality of Life Measure,” ANZ Journal of Surgery, Vol. 76, No. 4, 2006, pp. 208-213.

[7]   C. Shearman, In: J. J. Earnshaw, J. A. Murie, Eds., The Evidence for Vascular Surgery, TFM Publishing Limited, Shrewsbury, UK, 2006, pp. 37-44.

[8]   WHOQOL Group, “The World Health Organization Qua- lity of Life Assessment (WHOQOL): Position Paper from the World Health Organization,” Social Science & Medicine, Vol. 41, No. 10, 1995, pp. 1403-1409.

[9]   F. A. Spengel, T. M. Brown, S. Dietze, I. Kirchberger and S. Comte, “The Claudication Scale (CLAU-S): A New Disease-Specific Quality of Life Instrument in Intermittent Claudication,” Disease Management and Health Out- comes, Vol. 2, Supplement 1, 1997, pp. 65-70. doi:10.2165/00115677-199700021-00013

[10]   M. J. Smith, K. L. Borchard, E. Hinto and A. R. Scott, “Australian Vascular Quality of Life Index (AUSVI- QUOL): An Improved Clinical Quality of Life Tool for Peripheral Vascular Disease,” European Journal of Vascular and Endovascular Surgery, Vol. 34, No. 2, 2007, pp. 199-205. doi:10.1016/j.ejvs.2007.02.005

[11]   A. Aquarius, J. Vries, D. Van Berge Henegouwen and J. F. Hamming, “Clinical Indicators and Psychosocial Aspects in Peripheral Arterial Disease,” Archives of Surgery, Vol. 141, No. 2, 2006, pp. 161-166. doi:10.1001/archsurg.141.2.161

[12]   F. Vandy, E. Criado, R. U. Gilbert, D. M. Williams, J. Rectenwald and J. Eliason, “Transluminal Hypogastric Artery Occlusion with an Amplatzer Vascular Plug during Endovascular Aneurysm Repair,” Journal of Vascular Surgery, Vol. 48, No. 5, 2008, pp. 1121-1124. doi:10.1016/j.jvs.2008.06.002

 
 
Top