INTERVENTIONAL CLOSURE OF ATRIAL SEPTAL-DEFECTS WITH THE AMPLATZER(R)DEVICE - FIRST CLINICAL-EXPERIENCE

Citation
Pg. Bjornstad et al., INTERVENTIONAL CLOSURE OF ATRIAL SEPTAL-DEFECTS WITH THE AMPLATZER(R)DEVICE - FIRST CLINICAL-EXPERIENCE, Cardiology in the young, 7(3), 1997, pp. 277-283
Citations number
14
Categorie Soggetti
Pediatrics,"Cardiac & Cardiovascular System
Journal title
ISSN journal
10479511
Volume
7
Issue
3
Year of publication
1997
Pages
277 - 283
Database
ISI
SICI code
1047-9511(1997)7:3<277:ICOASW>2.0.ZU;2-W
Abstract
We report our initial experience in three children with percutaneous t ransvenous closure of significant atrial septal defects. A newly devel oped one-piece nitinol device is delivered through a long venous sheat h of 7 French calibre under fluoroscopic and transoesophageal echocard iographic monitoring. Complete closure of all defects was verified by echocardiography on the morning after the procedure. No complication o ccurred. In the first two patients, the device slipped sideways into t he defect. This was easily discovered and corrected: Our experience sh ows that the Amplatzer(R) device is reliable, easy to implant, and pre sents very clearly on transoesophageal echocardiography and fluoroscop y. This makes implantation a controlled procedure. Until release, the device can easily be retracted into the sheath at any time and removed . The results suggest that closure of an atrial septal defect with thi s device is feasible, rapid, and safe.