Table 1. The AVP family.
Version | Details | Comments |
---|---|---|
AVP I | Provides rapid occlusion with precise positioning in short landing zones
Single-layered cylindrical disk Available in diameters ranging from 4 to 16 mm Requires 4–6F sheaths |
Not very thrombogenic in high flow situations, many times requiring placement of other embolics Easy placement |
AVP II | Provides faster occlusion and can adjust to the variable landing zones
Made out of a densely braided multilayer nitinol mesh with three components generating six barrier planes for acceleration of vascular occlusion Sizes: 3–22 mm Requires 4–7F sheaths |
Faster occlusion Longer segment needed The 3 lobes can be shortened by compression, allowing for better sealing and fitting into a shorter landing zone |
AVP III | Provides even faster occlusion, enhanced performance in high flow situations and improved wall apposition in challenging cases Sizes: 4–14 mm Requires 4–7F sheaths |
Not available in the United States |
AVP IV | Reaches distal vasculature through tortuous anatomy and is compatible with select diagnostic 0.038-in inner lumen catheters Sizes: 4–8 mm |
Difficult to inject contrast using the provided valve For occlusion of medium-sized (3–6 mm) vessels |
Abbreviation: AVP, Amplatzer Vascular Plug.
Source: Images courtesy of Saint Jude Medical.