Severe haemolysis after transcatheter closure of a patent arterial duct with the new Amplatzer™ duct occluder

2000 ◽  
Vol 10 (3) ◽  
pp. 265-267 ◽  
Author(s):  
François Godart ◽  
Josep Rodés ◽  
Christian Rey
Keyword(s):  
Transcatheter Closure ◽  
Balloon Occlusion ◽  
Amplatzer Duct Occluder ◽  
Arterial Duct ◽  
Initial Procedure ◽  
Patent Arterial Duct ◽  
Temporary Balloon Occlusion

AbstractSevere mechanical haemolysis occurred in an 11-month-old boy after implantation of the new Amplatzer duct occluder. Temporary balloon occlusion of the aortic ampulla was performed 4 days after the initial procedure leading to prompt abolition of the haemolysis.

Transcatheter closure of a patent arterial duct with the Amplatzer duct occluder in the area of a large thoracic aortic aneurysm

2009 ◽  
Vol 19 (2) ◽  
pp. 209-211 ◽  
Author(s):  
Payam Ghazi ◽  
Ali-Mohammad Haji-Zeinali
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aorta ◽  
Endovascular Repair ◽  
Thoracic Aortic Aneurysm ◽  
Transcatheter Closure ◽  
Percutaneous Closure ◽  
Amplatzer Duct Occluder ◽  
Arterial Duct ◽  
Amplatzer Occluder ◽  
Patent Arterial Duct

AbstractWe describe successful closure of a persistently patent arterial duct, using an Amplatzer occluder, in the presence of a large thoracic aortic aneurysm in the area of the ductal ampulla. Although percutaneous closure is more difficult in this setting, because of the risk of traumatising the fragile tissues, it can safely be performed. In our case, it produced a decrease in the size of the aneurysm, and permitted us to delay endovascular repair of the thoracic aorta.

Complete transcatheter closure of a patent arterial duct with subsequent haemolysis

2010 ◽  
Vol 20 (04) ◽  
pp. 462-464 ◽  
Author(s):  
Neven Cace ◽  
Vladimir Ahel ◽  
Iva Bilic
Keyword(s):  
Transcatheter Closure ◽  
Arterial Duct ◽  
Patent Arterial Duct

Transcatheter closure of elongated and pulmonary hypertensive patent arterial duct in infants using Amplatzer vascular plug II

2020 ◽  
Vol 30 (2) ◽  
pp. 243-248 ◽  
Author(s):  
Sneha M. Jain ◽  
Priya M. Pradhan ◽  
Supratim Sen ◽  
Bharat V. Dalvi
Keyword(s):  
Pulmonary Artery ◽  
Amplatzer Vascular Plug ◽  
Successful Outcome ◽  
Pulmonary Artery Stenosis ◽  
Amplatzer Duct Occluder ◽  
Vascular Plug ◽  
Arterial Duct ◽  
Duct Diameter ◽  
Patent Arterial Duct ◽  
Amplatzer Vascular Plug Ii

AbstractObjective:To evaluate the feasibility, efficacy, and safety of Amplatzer vascular plug II in large and elongated ducts in infants.Introduction:Patent arterial duct device closure is technically challenging in infants with large and elongated ducts because Amplatzer duct occluder and Amplatzer duct occluder II have high chances of causing aortic coarctation and left pulmonary artery stenosis, respectively. The Amplatzer vascular plug II being soft with no retention discs on either sides helps in mitigating these problems.Method:This is a prospective, observational study involving infants with clinical, echocardiographic and angiographic evidence of large left to right shunt. All the children underwent duct closure using Amplatzer vascular plug II.Results:Eighteen infants qualified for the study. Mean age and weight were 8.63 ± 3.84 months and 6.3 ± 1.7 kg, respectively. The angiographic mean duct diameter at the pulmonary artery end was 4.66 ± 0.92 mm, and the mean duct length was 9.4 ± 2.48 mm. The size of Amplatzer vascular plug II used varied from 6 mm to 10 mm. Technical success was achieved in 16/18 cases. One patient had device embolisation, and in the other, the device was found to be unstable. The ratio of Amplatzer vascular plug II size to the duct diameter was 1.65 ± 0.27, while the ratio of ductal length to device length was 1.48 ± 0.46 in those with successful outcome.Conclusions:Amplatzer vascular plug II is a safe and effective option in appropriately selected infants with elongated ducts. Diameter and length of Amplatzer vascular plug II vis-a-vis those of the ductus are important determinants of the successful outcome.

Closure of a patent arterial duct in a septuagenarian with atrial fibrillation

2004 ◽  
Vol 14 (3) ◽  
pp. 328-329 ◽  
Author(s):  
Konrad Brockmeier ◽  
Peter Hallscheidt ◽  
Christlieb Haller
Keyword(s):  
Atrial Fibrillation ◽  
Amplatzer Duct Occluder ◽  
Residual Shunt ◽  
Arterial Duct ◽  
Patent Arterial Duct

We occluded a large arterial duct in a patient with atrial fibrillation, using an Amplatzer duct occluder, with no residual shunt at the end of the procedure. Follow-up revealed recanalization, which was successfully treated with a 4 mm Amplatzer ASD occluder. It is speculated the reopening of the initially occluded duct was the consequence of anticoagulation needed because of the atrial fibrillation.

Percutaneous closure of a patent arterial duct in a newborn

2009 ◽  
Vol 19 (4) ◽  
pp. 400-402
Author(s):  
Fredy H. Prada ◽  
Juan M. Carretero ◽  
Lorenzo Jimenez
Keyword(s):  
Critically Ill ◽  
Atrioventricular Block ◽  
Multiorgan Failure ◽  
Percutaneous Closure ◽  
Amplatzer Duct Occluder ◽  
Complete Atrioventricular Block ◽  
Arterial Duct ◽  
Critically Ill Neonates ◽  
Patent Arterial Duct ◽  
Complete Atrioventricular

AbstractWe report a successful percutaneous neonatal closure of haemodynamically significant patent arterial duct. The neonate was suffering multiorgan failure, and had complete atrioventricular block. Closure of the patent arterial duct, either with surgery or inhibitors of cyclooxygenase, was contraindicated. We inserted the Amplatzer Duct Occluder II, showing that percutaneous closure of a patent arterial duct is now feasible in critically ill neonates.

Transcatheter Closure of Arterial Duct in Infants < 6 kg: Amplatzer Duct Occluder Type I vs Amplatzer Duct Occluder II Additional Sizes

2018 ◽  
Vol 39 (3) ◽  
pp. 627-632 ◽  
Author(s):  
Giuseppe Santoro ◽  
Mario Giordano ◽  
Gianpiero Gaio ◽  
Maria Teresa Palladino ◽  
Giovanbattista Capozzi ◽  
...  
Keyword(s):  
Transcatheter Closure ◽  
Type I ◽  
Amplatzer Duct Occluder ◽  
Arterial Duct

Comparison of two transcatheter closure methods of persistently patent arterial duct

2001 ◽  
Vol 87 (1) ◽  
pp. 76-81 ◽  
Author(s):  
Henri Justino ◽  
Robert N Justo ◽  
Caroline Ovaert ◽  
Alan Magee ◽  
Kyong-Jin Lee ◽  
...  
Keyword(s):  
Transcatheter Closure ◽  
Arterial Duct ◽  
Patent Arterial Duct

scholarly journals Severe Spinal Cord Ischemic Injury Secondary to Device Embolization after Transcatheter Closure of a Patent Arterial Duct

2014 ◽  
Vol 41 (1) ◽  
pp. 83-86
Author(s):  
Liang Tang ◽  
Shenghua Zhou ◽  
Xiangqian Shen
Keyword(s):  
Spinal Cord ◽  
Medical Literature ◽  
Transcatheter Closure ◽  
Ischemic Injury ◽  
Descending Thoracic Aorta ◽  
Arterial Duct ◽  
Device Embolization ◽  
Device Deployment ◽  
Patent Arterial Duct ◽  
Pathophysiologic Mechanisms

Percutaneous closure of patent arterial ducts with the Amplatzer Ductal Occluder has become an effective and widely accepted alternative to surgical management. Although rarely, the occluder can be dislodged after an initially successful deployment, and with catastrophic consequences. We describe such a case in a 12-month-old girl who underwent transcatheter closure of a patent arterial duct. After device deployment, the occluder embolized in the patient's descending thoracic aorta, and severe spinal cord ischemic injury resulted. To our knowledge, ours is the first report of this complication after the deployment of an Amplatzer Ductal Occluder. We discuss pathophysiologic mechanisms that could expose patients to the risk of device dislodgment, and we review the relevant medical literature.

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