Embolized amplatzer duct occluder to aorta: Retrieval technique

Khan, Muhammad Arif; Almashham, Yahya H.; Almoukirish, Abdul Rahman S.; Momenah, Tarek

doi:10.1016/j.jsha.2015.11.002

Cited by 7 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 Khan et al reported device embolisation to the aorta (6/4 ADO) following improper positioning of the device prior to release. 8 In contrast to cases of PDA device embolisation reported in literature, both our cases were unique in that pulmonary arterial pressures were normal and initial device position on angiography appeared optimal. Our hypothesis of embolisation in these patients is that in tubular ducts, the pulmonary arterial end of these softer devices did not splay adequately.…”

Section: Discussioncontrasting

confidence: 53%

“…PDA device embolisation to the aorta is often associated with pulmonary arterial hypertension, or is secondary to improper device position with the pulmonary end of the device remaining within the body of the duct and not extending into the pulmonary artery. [6][7][8] Vijalalaxmi et al have reported embolisation in eight of 1325 patients (3.3%) of PDA with pulmonary hypertension. 7 Khan et al reported device embolisation to the aorta (6/4 ADO) following improper positioning of the device prior to release.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Embolisation of ceramic-coated PDA devices into the descending thoracic aorta: probable mechanisms and retrieval strategies

2019

View full text Add to dashboard Cite

We describe two cases of spontaneous embolisation and successful retrieval of ceramic-coated patent arterial duct devices. In both, the device embolised to the descending aorta in the absence of pulmonary hypertension and despite optimum placement. We have discussed possible mechanisms for embolisation in these patients and suggested alternative methods for device retrieval. Based on this limited experience, we conclude that for tubular ducts, ceramic-coated devices should be oversized to form a tighter waist or alternate devices may be considered.

show abstract

Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Embolisation of ceramic-coated PDA devices into the descending thoracic aorta: probable mechanisms and retrieval strategies

2019

View full text Add to dashboard Cite

show abstract

“…Serious transcatheter closure-related complications, such as embolization and arterial injury [10], cannot be ignored. Embolism is commonly caused by insertion of an undersized device, incorrect positioning, and erroneous operation [11][12][13], whereas arterial injuries are caused by iatrogenic coarctation or aortic dissection due to smaller aortic dimension, poor arterial elasticity, and aortic wall abrasion secondary to the disk at the aortic side, among others [14,15]. Therefore, a correct-sized occluder should be selected when performing transcatheter closure and the condition at post-implantation morphologically examined [8].…”

Section: Discussionmentioning

confidence: 99%

Surgical removal of part of an occluder to treat iatrogenic coarctation of the aorta: a case report

Sun

Wang

et al. 2020

BMC Surg

View full text Add to dashboard Cite

Background: Iatrogenic aortic stenosis is a serious complication and potentially fatal due to erosion of the aortic wall. Timely management is necessary to prevent complications. Case presentation: A 2-year-old boy underwent surgery to remove part of an Amplatzer occluder after patent ductus arteriosus (PDA) device embolization in the thoracic aorta. He exhibited moderate to severe obstruction with erosion of the intimal layer of the aorta caused by the device, part of which was retrieved surgically with restructuring of the thoracic aorta segment and occluder remnant. The patient's postoperative course was uneventful. Conclusions: When possible, retrieving only part of an embolized device can be advocated because it reduces the risk of aortic and pulmonary artery damage.

show abstract

“…In our study "ADO I" was the most commonly used device and was very effective and safe as in large series. 29 Memopart, Hyperion and Lifetech PDA occluders are "ADO I" like devices. There are case reports of large hypertensive PDA closed with the Amplatzer muscular ventricular septal defect occluder.…”

Section: Discussionmentioning

confidence: 99%

Safety and Procedural Success of Transcatheter Closure of Patent Ductus Arteriosus in Adults at Shahid Gangalal National Heart Centre, Kathmandu, Nepal

et al. 2020

View full text Add to dashboard Cite

Background and Aims: Transcatheter closure of patent ductus arteriosus (PDA) using either coils or device is a well-established procedure. PDA is one of the common congenital heart diseases and it is not uncommon for it to be diagnosed in adulthood. However, only few studies are conducted in our part of the world regarding the safety and procedural success of device closure of PDA in adults. We aim to assess safety and procedural success of transcatheter closure of PDA in adults at Shahid Gangalal National Heart Centre, Kathmandu, Nepal. Methods: It was a single center, retrospective study. Cardiac catheterization laboratory records of all consecutive adult patients (age ≥ 18 years) who underwent PDA device closure between March 2007 to March 2020 were reviewed. Patients age, gender, device size and device type along with procedural success of the procedure were reviewed. Any complication recorded was reviewed. Results: During the study period 118 adult patients were attempted for transcatheter closure of PDA. In three cases transcatheter closure was not attempted. In one patients attempt was made to close the duct with cook coil which embolized to pulmonary artery. PDA was successfully closed in 114 patients. Among the 114 patients, 87 were females and 27 were male. Age ranged from 18 to 69 years with mean age was 29.5 years. PDA size ranged from 3mm to 18mm with the mean of 6.9mm. In two patients, residual PDA after surgical closure were closed. Amplatzer duct occluder was the most commonly used device used in 89 (78%) patients followed by Memopart PDA device in 11 (9.6%) patients, Amplatzer Muscular VSD occluder in four patients. Device size of “8x10” in 32 patients and “10x12” device in 29 patients, were the most commonly used device size. Conclusion: Transcatheter closure of PDA in adults can safely be done with high success rate.

show abstract

Embolized amplatzer duct occluder to aorta: Retrieval technique

Abstract: A 4-year-old girl had an Amplatzer duct occluder embolized to the descending aorta immediately after closure of patent ductus arteriosus: a novel technique of retrieval.

Cited by 7 publications

References 7 publications

Embolisation of ceramic-coated PDA devices into the descending thoracic aorta: probable mechanisms and retrieval strategies

Embolisation of ceramic-coated PDA devices into the descending thoracic aorta: probable mechanisms and retrieval strategies

Surgical removal of part of an occluder to treat iatrogenic coarctation of the aorta: a case report

Safety and Procedural Success of Transcatheter Closure of Patent Ductus Arteriosus in Adults at Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Contact Info

Product

Resources

About