Closure of Atrial Septal Defect With the Amplatzer Septal Occluder in Adults

Majunke, Nicolas; Białkowski, Jacek; Wilson, Neil; Szkutnik, Małgorzata; Kusa, Jacek; Baranowski, Andreas; Heinisch, Corinna; Ostermayer, Stefan; Wunderlich, Nina; Sievert, Horst

doi:10.1016/j.amjcard.2008.10.018

Cited by 116 publications

(93 citation statements)

References 28 publications

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“…[15][16][17] This procedure is also reported as safe and effective for patients with PAH. 7-9 The benefits of the transcatheter procedure over standard cardiac surgery are avoidance of thoracotomy and cardiopulmonary bypass, and reduced requirement for blood products.…”

Section: Discussionmentioning

confidence: 99%

Treat and Repair Strategy in Patients With Atrial Septal Defect and Significant Pulmonary Arterial Hypertension

Kijima

Akagi

Takaya

et al. 2016

Circ J

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Section: Discussionmentioning

confidence: 99%

Treat and Repair Strategy in Patients With Atrial Septal Defect and Significant Pulmonary Arterial Hypertension

Kijima

Akagi

Takaya

et al. 2016

Circ J

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“…Nitinol containing devices for transcatheter closure of atrial septal defects (ASD) have been used worldwide over the past decade (1,2). These nitinol devices not only provided excellent results, but also made for safe and easy device implantation (1,2). Meanwhile, there are certain contraindications and limitations to this relatively popular technique that should be acknowledged.…”

Section: Introductionmentioning

confidence: 99%

Explantation of an atrial septal occluder device in a patient with nickel hypersensitivity

Uğuz¹,

Erdoğan²,

Şener³

2014

Anadolu Kardiyol Derg

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“…6) Device embolization is a common and potentially fatal complication of percutaneous ASD closure, which may be a result of inadequate rim margins, improper sizing, and improper placement of the device. 1,7,8) Our patient had an aortic rim measuring 2 mm, and margins of < 5 mm may predispose the patient to early and late device embolization. 9) Surgery for retrieval of the device is a proposed treatment, but it carries additional risks including bleeding secondary to antiplatelet therapy.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Retrieval of Embolized Atrial Septal Defect Occluder Device by Waist Capture Technique

2018

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SummaryThis case study describes the successful percutaneous transcatheter retrieval of an embolized Amplatzer occluder device using the "waist capture technique" in a patient with an atrial septal defect. This technique allowed for stability of the Amplatzer device, compression of the atrial discs for easier removal, prevention of further embolization, and minimal injury to vasculature during device retrieval. This novel and effective technique can be used safely for the retrieval of Amplatzer devices in the venous system.(Int Heart J 2018; 59: 226-228) Key words: Amplatzer occlusion device, Percutaneous transcatheter occlusion T he percutaneous transcatheter occlusion technique is an effective, successful alternative to surgery for the treatment of atrial septal defects (ASD). The Amplatzer septal occlusion device is efficient, safe, and easy to use and has a high success rate.1,2) However, a common complication occurring in 0.55% of cases is device embolization.3) Transcatheter retrieval of the embolized device is possible in about half of cases, and several techniques have been described, including the use of gooseneck snares, pig tail catheters, and bioptomes. [3][4][5] In this case study, we report the successful transcatheter retrieval of an embolized ASD occluder device using the "waist capture technique." Case ReportA 51-year-old man presented with dyspnea on exertion (NYHA class II), with physical examination revealing a split second heart sound and a left sternal systolic murmur. Electrocardiography showed incomplete right bundle branch block. Transthoracic echocardiography (TTE) showed a secundum type ASD with a left to right shunt and a moderate pulmonary/systemic flow ratio (Qp/Qs) of 2.2 and transesophageal echocardiography (TEE) confirmed the presence of a round shaped ASD, measuring 20 mm by 18 mm. The aortic rim was the shortest measuring 2 mm, while all other surrounding rims had adequate margins. Preparation was made for percutaneous ASD closure with the patient's informed consent. The procedure was performed under general anesthesia with TEE guidance. The stretched maximal diameter of the defect with sizing balloon was 22 mm, and a 22 mm Amplatzer septal occluder device was selected for use.The device was loaded into the delivery system and introduced into a 9-French long sheath that had already been placed over the exchange wire. After the device was advanced into the left atrium (LA), the delivery system was withdrawn into the right atrium (RA) until the LA sided disc opened and aligned with the interatrial septum. When continuous TEE confirmed adequate device positioning, the RA sided disc was opened, and to assure stability and appropriate apposition to the rims, gentle push/pull (The Minnesota Wiggle) was performed prior to releasing the device. In view of the complete obliteration of color flow across the defect on TEE as well as the stable position of the device, it was left in place.The next day, routine chest x-rays and TTE were performed. The x-rays revealed the Amplatzer device sh...

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Closure of Atrial Septal Defect With the Amplatzer Septal Occluder in Adults

Cited by 116 publications

References 28 publications

Treat and Repair Strategy in Patients With Atrial Septal Defect and Significant Pulmonary Arterial Hypertension

Treat and Repair Strategy in Patients With Atrial Septal Defect and Significant Pulmonary Arterial Hypertension

Explantation of an atrial septal occluder device in a patient with nickel hypersensitivity

Transcatheter Retrieval of Embolized Atrial Septal Defect Occluder Device by Waist Capture Technique

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