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Duplex Studies of Amplatzer Vascular Plug II as a Foreign Body: Detection and Localization Following Migration From the Heart to the Extremities

Duplex Studies of Amplatzer Vascular Plug II as a Foreign Body: Detection and Localization... This case report illustrates the most unique feature of ultrasound that distinguishes it from other imaging modalities: hemodynamic analysis of blood flow by spectral Doppler waveforms. Duplex evaluation of the patient presented showed the different resulting hemodynamic impacts of the Amplatzer Vascular Plug II (AVP II), an embolic device, as a foreign body in the upper extremity versus the lower extremity: monophasic Doppler waveforms in the upper extremity distal to the location of the AVP II versus multiphasic Doppler waveforms in the comparable lower extremity distal location. This hemodynamic analysis illustrates the different impacts of the migrated AVP II as a foreign body. It is possible that paroxysmal atrial fibrillation could have been a cause of AVP II migration in this case, since there was no surgical manipulation following placement, but that would be a topic for further investigation. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal for Vascular Ultrasound SAGE

Duplex Studies of Amplatzer Vascular Plug II as a Foreign Body: Detection and Localization Following Migration From the Heart to the Extremities

Journal for Vascular Ultrasound , Volume 47 (1): 4 – Mar 1, 2023

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Publisher
SAGE
Copyright
© 2023, Society for Vascular Ultrasound
ISSN
1544-3167
eISSN
1544-3175
DOI
10.1177/15443167221147521
Publisher site
See Article on Publisher Site

Abstract

This case report illustrates the most unique feature of ultrasound that distinguishes it from other imaging modalities: hemodynamic analysis of blood flow by spectral Doppler waveforms. Duplex evaluation of the patient presented showed the different resulting hemodynamic impacts of the Amplatzer Vascular Plug II (AVP II), an embolic device, as a foreign body in the upper extremity versus the lower extremity: monophasic Doppler waveforms in the upper extremity distal to the location of the AVP II versus multiphasic Doppler waveforms in the comparable lower extremity distal location. This hemodynamic analysis illustrates the different impacts of the migrated AVP II as a foreign body. It is possible that paroxysmal atrial fibrillation could have been a cause of AVP II migration in this case, since there was no surgical manipulation following placement, but that would be a topic for further investigation.

Journal

Journal for Vascular UltrasoundSAGE

Published: Mar 1, 2023

Keywords: mitral valve; Amplatzer Vascular Plug II (AVP II); paroxysmal atrial fibrillation; arterial duplex; Doppler waveform; duplex ultrasound

References