Circulation, Vol 82, 751-758, Copyright © 1990 by American Heart Association
JJ Rome, JF Keane, SB Perry, PJ Spevak and JE Lock
Forty patients were catheterized for closure of atrial septal defects with
the Rashkind patent ductus arteriosus umbrella device, a modified Rashkind
umbrella device, and the newly designed Lock Clamshell Occluder. Patients
weighed 8 kg or more (a requirement for transvenous access with the 11F
delivery sheath) and had defects suitable for closure based on
two-dimensional echocardiography. The new device was at least 1.6 times the
diameter of the atrial septal defect as determined by balloon sizing at
catheterization. Patients were followed up by telephone, clinical
examination, and echocardiography at 6 months. We attempted closure in 34
patients, with atrial septal defects ranging in diameter from 3 to 22 mm;
device sizes ranged from 17 to 33 mm. Initial device position immediately
after release was correct in all patients. A cerebral embolus occurred in
one elderly patient before device placement--the patient died 1 week later.
Two instances of early device embolization occurred, and devices were
retrieved by catheter without complication. Follow-up of 31 patients
discharged with devices in place, for a total of 31 patient-years, has
yielded no umbrella- related complications. Adequate imaging studies in 19
patients 6.5 months after device placement revealed no atrial shunt in 12;
residual flow through separate, previously unrecognized atrial septal
defects occurred in two; and small residual leaks (less than 3 mm) around
devices were present in five patients. This initial success indicates that
double-umbrella closure of atrial septal defects will aid in the treatment
of intracardiac defects.
ARTICLES
Double-umbrella closure of atrial defects. Initial clinical applications
Department of Cardiology, Children's Hospital, Boston, MA 02115.
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
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|
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