Occlusion of small arteries in the neuroendovascular and head and neck territory-initial experiences with a microvascular plug.

ABSTRACT

The microvascular plug (MVP, UNO; Reverse Medical Corp, Irvine, California) is designed for occlusion of small vessels that are accessible only by microcatheters. This report describes eight neuroendovascular cases, including aneurysms and acute or imminent hemorrhage, treated with 10 microvascular plug devices. Instantaneous flow arrest was observed in all but two cases, in which the device was undersized, requiring supplementary coiling or microvascular plug replacement, respectively. Persistent occlusion was confirmed on follow-up examinations. There was one adverse event, which involved inadvertent device detachment after repeated resheathing. The microvascular plug appears to be suitable for the designated purpose. Further studies need to evaluate safety and confirm long-term durability of the results.