Displacement of Amplatzer septal occluder in a patient with atrial septal defects and an atrial septal aneurysm

2016 ◽  
Vol 26 (7) ◽  
pp. 1430-1431 ◽  
Author(s):  
Takeshi Oda ◽  
Seiya Kato ◽  
Kenji Suda

AbstractTranscatheter closure of atrial septal defects has become more common because of its high success rate and low morbidity; however, this treatment for patients with atrial septal aneurysms is still challenging.

2002 ◽  
Vol 66 (9) ◽  
pp. 791-791 ◽  
Author(s):  
Shinichi Oho ◽  
Akira Ishizawa ◽  
Teiji Akagi ◽  
Hidemi Dodo ◽  
Hirohisa Kato

2014 ◽  
Vol 10 (5) ◽  
pp. 626-631 ◽  
Author(s):  
Mehmet Gungor Kaya ◽  
Mahmut Akpek ◽  
Ahmet Celebi ◽  
Turkay Saritas ◽  
Murat Meric ◽  
...  

Heart ◽  
1999 ◽  
Vol 82 (5) ◽  
pp. 559-562 ◽  
Author(s):  
R Dhillon ◽  
B Thanopoulos ◽  
G Tsaousis ◽  
F Triposkiadis ◽  
M Kyriakidis ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Zhenquan Wang ◽  
Yi Zhan ◽  
Jiahui Jin ◽  
Tingting Wu ◽  
Songyue Zhang ◽  
...  

Multiple atrial septal defects (ASDs) are one type of secundum ASD, most of which have an atrial septal aneurysm or long interdefect distance. In our retrospective single-center study, we reviewed different closure strategies for multiple ASDs. We analyzed 50 patients who underwent percutaneous transcatheter closure from May 2011 to July 2019. Information on the patients' characteristics, operation procedure, occluder selection, and complications was collected. According to the feature of the defects and device choice, multiple ASDs were divided into five groups. A successful operation was achieved in every patient. A total of 50 patients were implanted with 58 devices, with 26 patients implanted with a single standard ASD occluder (ASDO); six patients were implanted with double standard ASDOs, and only one patient was implanted with three standard ASDOs. There were 17 patients whose closure was made using the small-waist–big-edge ASDO. Seventy-six percent of the patients (38/50) had an immediate residual shunt. During the mean follow-up of 25.76 ± 22.53 months, the complete closure rate was 92%. Except for two patients with a transient atrioventricular block, individualized experience with percutaneous transcatheter closure for multiple ASDs was effective in a single-center study. After a mid- to long-term follow-up, the multiple ASDOs and small-waist–big-edge ASDO had no serious adverse events or complications.


2008 ◽  
Vol 51 (4) ◽  
pp. 401 ◽  
Author(s):  
Seo Jin Jea ◽  
Hyo Jin Kwon ◽  
Gi Young Jang ◽  
Jae Young Lee ◽  
Soo Jin Kim ◽  
...  

2013 ◽  
Vol 16 (4) ◽  
pp. 193
Author(s):  
Eun Hyun Cho ◽  
Jinyoung Song ◽  
Eun Young Choi ◽  
Sang Yoon Lee

<p><b>Background:</b> For successful transcatheter closure of an atrial septal defect with the Amplatzer septal occluder, the shape of the defect should be considered before selecting the device size. The purpose of this study was to evaluate the results of transcatheter closure of an ovoid atrial septal defect.</p><p><b>Methods:</b> Between January 2010 and February 2012, cardiac computer tomography examinations were performed in 78 patients who subsequently underwent transcatheter closure of an atrial septal defect. In this retrospective study, we reviewed these patients' medical records. We defined an ovoid atrial septal defect as a value of 0.75 for the ratio of the shortest diameter of the defect to the longest diameter, as measured in a computed tomography image. Transthoracic echocardiography examinations were made at 1 day and 6 months after the procedure.</p><p><b>Results:</b> Transcatheter closure of an atrial septal defect was successful in 26 patients in the ovoid-defect group and in 52 patients in the round-defect group. There were no serious complications in either group, and the rate of complete closure at 6 months was 92.3% in the ovoid-defect group and 93.1% in the round-defect group (<i>P ></i> .05). The mean (SD) difference between the device size and the defect's longest diameter, and the mean ratio of the device size to the longest diameter were significantly smaller in the ovoid-defect group (1.7 � 2.9 versus 3.8 � 2.5 and 1.1 � 0.1 versus 1.3 � 0.2, respectively).</p><p><b>Conclusions:</b> Transcatheter closure of an atrial septal defect is indicated even for an ovoid atrial septal defect. Ovoid atrial septal defects can be closed successfully with smaller sizes of the Amplatzer septal occluder than for round atrial septal defects.</p>


1999 ◽  
Vol 9 (2) ◽  
pp. 136-140 ◽  
Author(s):  
Peter Ewert ◽  
Ingo Daehnert ◽  
Felix Berger ◽  
Andreas Kaestner ◽  
Gregor Krings ◽  
...  

AbstractBackgroundTranscatheter closure of atrial septal defects is performed under fluoroscopy, but echocardiography has gained an important role in the procedure. With the new Amplatzer Septal Occluder a device has become available which is easy to implant with minimal fluoroscopy time. We developed an interventional procedure with this device under transesophageal echocardiography alone without fluoroscopy.Methods and ResultsFour patients (3 to 16 years of age, bodyweight 14 to 60 kg) with atrial septal defects centrally located in the oval fossa were elected for transcatheter closure. After sedation with midazolam and propofol a diagnostic and interventional catheterization was performed in all cases without fluoroscopy. Oxymetric shunt was Qp: Qs = 1.7 (1.5 to 2.1). Under transesophageal echocardiography, the defects were sized over the wire with a balloon catheter. Mean balloon stretched diameter was 10 mm (7 to 14 mm). Under transesophageal echocardiography an Amplatzer Septal Occluder was placed into the defect. In two patients this was achieved with a 5 MHz monoplane pediatric transducer, in two patients a 10mm 5 MHz multiplane probe was used. Complete closure was achieved in all patients and no complications were encountered.ConclusionWe conclude that in selected cases with an atrial septal defect located in the oval fossa and clear-cut echocardiographic findings, an Amplatzer Septal Occluder can be safely deployed under echocardiographic guidance alone.


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