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Percutaneous asd closure

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https://www.readbyqxmd.com/read/27896910/novel-delivery-technique-for-atrial-septal-defect-closure-in-young-children-utilizing-the-gore-%C3%A2-cardioform-%C3%A2-septal-occluder
#1
Jason H Anderson, Hannah Fraint, Phillip Moore, Allison K Cabalka, Nathaniel W Taggart
OBJECTIVES: To develop a novel delivery technique to overcome vascular size limitations for device closure of a secundum ASD in the young patient. BACKGROUND: The efficacy, clinical utility, and safety of transcatheter closure in comparison to surgical closure are well established; however, access vessel size remains a potential limitation to device selection in the young patient. METHODS: A retrospective medical record review of all cases of secundum ASD closure between April 2015 and April 2016 utilizing a novel delivery method described herein at two separate academic institutions...
November 29, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27896596/haemodynamic-and-functional-consequences-of-the-iatrogenic-atrial-septal-defect-following-mitraclip-therapy
#2
REVIEW
E A Hart, K Zwart, A J Teske, M Voskuil, P R Stella, S A J Chamuleau, A O Kraaijeveld
Percutaneous MitraClip placement for treatment of severe mitral regurgitation in high surgical risk patients is a commonly performed procedure and requires a transseptal puncture to reach the left atrium. The resulting iatrogenic atrial septal defect (iASD) is not routinely closed, yet the haemodynamic and functional consequences of a persisting defect are not fully understood. Despite positive effects such as acute left atrial pressure relief, persisting iASDs are associated with negative consequences, namely significant bidirectional shunting and subsequent worse clinical outcome...
November 28, 2016: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27872992/atrial-septal-defect-closure-with-occlutech-%C3%A2-asd-fenestrated-device-in-a-child-with-severe-pulmonary-hypertension
#3
Francisco Gonzalez-Barlatay, Anne Fournier, Marie-Josée Raboisson, Nagib Dahdah
We report a 5-year-old patient with severe pulmonary hypertension and a large secundum atrial septal defect who benefited from a percutaneous closure of the defect with an Occlutech(®) custom-made fenestrated device. Whereas the closure is technically identical to standard atrial defect closure, the immediate and midterm beneficial results are presented.
November 21, 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27865679/percutaneous-closure-of-isolated-ostium-secundum-type-atrial-septal-defect-in-a-patient-with-mayer-rokitansky-k%C3%A3-ster-hauser-syndrome
#4
Murat Akcay, Okan Gulel, Korhan Soylu, Murat Meric, Muzaffer Elmali
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital anomaly characterized by complete or partial aplasia of the uterus and the upper part of the vagina. It is reported to be associated with cardiovascular disorders including atrial septal defect, anomalous pulmonary venous return, aortopulmonary window, pulmonary valve stenosis, mitral valve prolapse, tetralogy of Fallot, truncus arteriosus, and patent ductus arteriosus. Herein, for the first time in the medical literature, we present percutaneous closure of an isolated ostium secundum atrial septal defect in this syndrome...
December 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/27858888/percutaneous-device-closure-of-atrial-septal-defect-with-totally-transthoracic-echocardiography-guide-without-x-ray-machine
#5
Hua Cao, Qiang Chen, Gui-Can Zhang, Liang-Wan Chen, Zhi-Huang Qiu, Heng Lu
The present study investigated the feasibility of totally transthoracic echocardiography-guided percutaneous device occlusion of atrial septal defects (ASDs) without using x-ray equipment.Between September and December 2014, we performed totally transthoracic echocardiography-guided percutaneous device occlusion for 20 patients with secundum ASD without using x-ray equipment. We carried out percutaneous femoral vein puncture, used a specialized delivery sheath during operation, and closed the ASD by releasing an occluder...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27837301/early-complications-after-percutaneous-closure-of-atrial-septal-defect-in-infants-with-procedural-weight-less-than-15-kg
#6
Gustaf Tanghöj, Michal Odermarsky, Estelle Naumburg, Petru Liuba
Atrial septal defect (ASD) is the most common congenital cardiac lesion accounting for 10-15% of all cardiac malformations. In the majority of cases, the secundum type of the ASD is closed percutaneously in the catheterization laboratory. Although transcatheter closure of ASD is considered safe and effective in pediatric patients, there are limited data regarding the efficacy and safety of device ASD closure in smaller infants. The aim of this study was to determine risk of complications within 72 h following device closure of ASD in children of body weight <15 kg compared to larger children...
November 11, 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27747857/three-dimensional-printing-guided-percutaneous-transcatheter-closure-of-secundum-atrial-septal-defect-with-rim-deficiency-first-human-case-series
#7
Zhongmin Wang, Yuhao Liu, Yu Xu, Chuanyu Gao, Yan Chen, Hongxing Luo
BACKGROUND: WE AIMED TO PROSPECTIVELY EVALUATE THE: use of 3-dimensional printing (3DP) for the percutaneous transcatheter closure of a secundum atrial septal defect (ASD) with rim deficiency less than 5 mm. METHODS: Patients with ASD were scanned using multi-slice computed tomography to acquire raw data for virtual 3DP reconstruction models. Different ASD occluders were tried on the 3DP models to select the optimal size for intraoperative use. The patients were followed up 1 month postoperatively, and 3DP models were again manufactured to observe the operative effects...
October 17, 2016: Cardiology Journal
https://www.readbyqxmd.com/read/27659570/percutaneous-intervention-to-treat-platypnea-orthodeoxia-syndrome-the%C3%A2-toronto-experience
#8
Ashish H Shah, Mark Osten, Andrew Leventhal, Yvonne Bach, Daniel Yoo, Danny Mansour, Lee Benson, William M Wilson, Eric Horlick
OBJECTIVES: This study reviewed a series of patients treated with transcatheter closure of septal defect to treat platypnea-orthodeoxia syndrome, with specific attention to septal characteristics and device choice. BACKGROUND: Platypnea-orthodeoxia syndrome is an uncommon condition characterized by positional dyspnea and hypoxemia due to intracardiac right-to-left shunting through a patent foramen ovale (PFO), an atrial septal defect, or pulmonary arteriovenous malformations...
September 26, 2016: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/27625018/interventional-closure-of-secundum-type-atrial-septal-defects-in-infants-less-than-10-kilograms-indications-and-procedural-outcome
#9
Yves Wyss, Daniel Quandt, Roland Weber, Brian Stiasny, Benedikt Weber, Walter Knirsch, Oliver Kretschmar
AIMS: This study set out to assess indications, feasibility, complications, and clinical outcome of percutaneous transcatheter device closure of atrial septal defects (ASDs) in infants with a bodyweight below 10 kg. METHODS AND RESULTS: Retrospective single center chart and echocardiography review study from 8/2005-12/2013. Twenty-eight children with ASD (13 female) with a median age of 1.15 years (0.2-2.8) and a median weight of 7.2 kg (4.5-9.9) were analyzed...
December 2016: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/27591693/atrial-septal-defect-closure-for-right-to-left-shunting-following-a-mitraclip-repair
#10
Subhi J Al'Aref, Geoffrey Bergman, S Chiu Wong
Percutaneous repair of the mitral valve has been widely adopted for the treatment of primary, symptomatic severe mitral regurgitation in patients at prohibitive risk for surgical intervention. We present a case of an elderly female patient with moderate-to-severe mitral regurgitation who underwent MitraClip procedure, with postprocedural course remarkable for the development of right-to-left shunting and hypoxia, for which the patient underwent a percutaneous repair of the atrial septal defect with immediate recovery of oxygen saturation...
September 2016: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/27561281/relationship-between-atrial-septal-defects-and-asthma-like-dyspnoea-the-impact-of-transcatheter-closure
#11
M Nassif, C B B C Heuschen, H Lu, B J Bouma, R P van Steenwijk, P J Sterk, B J M Mulder, R J de Winter
BACKGROUND: Patients with atrial septal defects (ASD) are often misdiagnosed as asthma patients and accordingly receive erroneous bronchodilator treatment. In order to characterise their symptoms of dyspnoea to explain this clinical observation, we investigated the prevalence of asthma-like symptoms in patients with secundum ASD who then underwent successful percutaneous closure. METHODS: A total of 80 ASD patients (74 % female, mean age 46.7 ± 16.8 years, median follow-up 3...
November 2016: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27557679/late-infectious-endocarditis-of-surgical-patch-closure-of-atrial-septal-defects-diagnosed-by-18f-fluorodeoxyglucose-gated-cardiac-computed-tomography-18f-fdg-pet-ct-a-case-report
#12
Estelle Honnorat, Piseth Seng, Alberto Riberi, Gilbert Habib, Andreas Stein
BACKGROUND: In contrast to percutaneous atrial septal occluder device, surgical patch closure of atrial defects was known to be no infective endocarditis risk. CASE PRESENTATION: We herein report the first case of late endocarditis of surgical patch closure of atrial septal defects occurred at 47-year after surgery. On September 2014, a 56-year-old immunocompetent French Caucasian man was admitted into the Emergency Department for 3-week history of headache, acute decrease of psychomotor performance and fever at 40 °C...
2016: BMC Research Notes
https://www.readbyqxmd.com/read/27553997/normalisation-of-hypoxaemia-following-successful-percutaneous-closure-of-a-bidirectional-shunting-secundum-atrial-septal-defect-without-pulmonary-hypertension-in-a-patient-with-severe-non-ischaemic-cardiomyopathy-and-refractory-ventricular-tachycardia
#13
R D Anderson, W Wilson, J Morton, A Aggarwal
Atrial septal defects (ASD) are an uncommon cause of dyspnoea. A high index of suspicion is required, and further investigation should be prompted in patients with unexplained hypoxaemia, particularly those with pulmonary hypertension. Hypoxic ASD without pulmonary hypertension are rare, and only a handful of cases have been published. We present a middle-aged man with progressive dyspnoea with a successfully closed ASD without pulmonary hypertension caused by elevated right ventricular pressures secondary to an idiopathic cardiomyopathy...
August 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27535818/delayed-spontaneous-perforation-of-polyvinyl-alcohol-membrane-covered-atrial-septal-defect-closure-devices
#14
Fabien Labombarda, Vincent Roule, Farzin Beygui
Percutaneous device closure has become the first choice for secundum atrial septal defect (ASD) closure when feasible in case of favorable anatomy. The Ultrasept II ASD occluder® device (Cardia Inc, Eagan, MN) is made of two nitinol disc frames covered with polyvinyl alcohol membranes, a synthetic polymer with a large application in the biomedical field. Four relatively early malfunctions of the polyvinyl alcohol membrane were observed in a series of six consecutive patients treated with ASD Ultrasept II closure device in our institution...
August 18, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27476859/letter-to-the-editor-and-response-percutaneous-closure-of-atrial-septal-defects-under-transthoracic-echocardiography-without-fluoroscopy
#15
K M Krishnamoorthy, Deepa Sasikumar, S Bijulal
No abstract text is available yet for this article.
August 2016: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/27397450/conscious-sedation-using-dexmedetomidine-for-percutaneous-transcatheter-closure-of-atrial-septal-defects-a-single-center-experience
#16
Pushkar Mahendra Desai, Sanjeeta R Umbarkar, Manjula S Sarkar, Rishi Lohiya
OBJECTIVE: The aim of this study is to determine safety and feasibility of conscious sedation using dexmedetomidine for transcatheter atrial septal defect (ASD) device closure. MATERIAL AND METHODS: A retrospective institutional review of transcatheter ASD device closure without endotracheal intubation over 18 months. The protocol included topical oropharyngeal anesthesia using lignocaine followed by dexmedetomidine bolus 1 μg/kg intravenously over 10 min and maintenance dose 0...
July 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27375392/anesthetic-management-of-amplatzer-atrial-septal-defect-closure-device-embolization-to-right-ventricular-outflow-tract
#17
S Das, P Kumar, V Bhardwaj, R Palleti
Percutaneous device closure of atrial septal defect (ASD) is an alternative treatment to surgery with advantages of avoidance of surgery, short procedure time, early discharge from hospital, and lower rates of complications. However, percutaneous device closure is associated with infrequent life-threatening complications such as device embolization. We report a case device embolization of the ASD occlude device into right ventricular outflow tract resulting progressive hypoxia. The role of anesthesiologist as a team leader in managing such emergency is discussed...
July 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27357435/severe-mechanical-hemolysis-after-transcatheter-closure-of-a-traumatic-ventricular-septal-defect-using-the-amplatzer-atrial-septal-occluder
#18
Liang Tang, Jian-Jun Tang, Zhen-Fei Fang, Xin-Qun Hu, Xiang-Qian Shen, Sheng-Hua Zhou
Traumatic ventricular septal defect (VSD) resulting from chest trauma, either penetrating or blunt, is a relatively rare occurrence. Herein, we describe the case of a previously healthy 26-year-old man who presented with congestive heart failure, which was secondary to a large traumatic VSD following violent blunt chest trauma. The traumatic VSD was initially closed percutaneously using an Amplatzer atrial septal defect occluder. Post-device closure, however, the patient developed severe intravascular hemolysis refractory to medical treatment...
July 27, 2016: International Heart Journal
https://www.readbyqxmd.com/read/27354151/imaging-techniques-in-percutaneous-cardiac-structural-interventions-atrial-septal-defect-closure-and-left-atrial-appendage-occlusion
#19
Antonio Rodríguez Fernández, Armando Bethencourt González
Because of advances in cardiac structural interventional procedures, imaging techniques are playing an increasingly important role. Imaging studies show sufficient anatomic detail of the heart structure to achieve an excellent outcome in interventional procedures. Up to 98% of atrial septal defects at the ostium secundum can be closed successfully with a percutaneous procedure. Candidates for this type of procedure can be identified through a systematic assessment of atrial septum anatomy, locating and measuring the size and shape of all defects, their rims, and the degree and direction of shunting...
August 2016: Revista Española de Cardiología
https://www.readbyqxmd.com/read/27344516/-prevalence-of-risk-factors-of-erosion-in-patients-with-percutaneous-closure-of-atrial-septal-defects
#20
Alejandro E Contreras, Adolfo Ferrero Guadagnoli, Alejandro Peirone
No abstract text is available yet for this article.
June 22, 2016: Archivos de Cardiología de México
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