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Creation with a stent of an unrestrictive lasting atrial communication

Published online by Cambridge University Press:  30 July 2009

Marc Gewillig ,
Derize Boshoff  and
Luc Mertens
Marc Gewillig*
Affiliation:
University Hospitals Leuven, Leuven, Belgium
Derize Boshoff
Affiliation:
University Hospitals Leuven, Leuven, Belgium
Luc Mertens
Affiliation:
University Hospitals Leuven, Leuven, Belgium
*
Marc Gewillig, Paediatric Cardiology, University Hospitals Leuven, B-3000 Leuven, Belgium. Tel: +32 16 343865; Fax: +32 16 343981; E-mail: [email protected]
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Abstract

A new technique is presented to create percutaneously an unrestrictive and lasting atrial communication in small children. In 2 infants, a stent was deployed in a restrictive atrial communication and first inflated with an 8 mm balloon. The stent was then further expanded up to 10 or 12 mm. The gradient and turbulent flow between the two atriums disappeared completely. The stent retained a very stable position without embolisation. Other complications, such as formation of thrombus or arrhythmia, were not observed until elective explantation after 2 and 11 months. We conclude that, in infants, dilation of the atrial septum with a stent can provide a safe, lasting, and unrestrictive atrial communication.

Keywords

Percutaneous interventionstentatrial septal defect
Type
Brief Reports
Information
Cardiology in the Young , Volume 12 , Issue 4 , July 2002 , pp. 404 - 407
Copyright
Copyright © Cambridge University Press 2002

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References

1.Mitchell, SE, Anderson, JH, Swindle, MM, Strandberg, JD, Kan, J.Atrial septostomy: stationary angioplasty balloon technique — experimental work and preliminary clinical applications. Pediatr Cardiol 1994; 15: 1–7.CrossRefGoogle ScholarPubMed
2.Rao, PS.Static balloon dilatation of the atrial septum. Pediatr Cardiol 1996; 17: 349–350.CrossRefGoogle ScholarPubMed
3.Lang, P. Other catheterisation laboratory techniques and interventions: ASD creation, transseptal pericardial drainage, foreign body retrieval, exercise and drug testing. In: Lock, J, Keane, J, Perry, S (eds). Diagnostic and interventional catheterisation in congenital heart disease, 2nd edition. Kluwer Ac Pub, 2000: pp 245–268.CrossRefGoogle Scholar
4.Gewillig, M, Mertens, L, Stockx, L.Percutaneous fenestration of the atrial septum with a stent: an experimental study. Cor Europaneum 1995; 4: 122–125.Google Scholar
5.Pedra, CA, Pihkala, J, Benson, LN, Freedom, RM, Nykanen, D.Stent implantation to create interatrial communications in patients with complex congenital heart disease. Cathe Cardiovasc Interv 1999; 47: 310–313.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
6.Stümper, O, Vettukattil, J, Chessa, M, Chaudhari, M, Nagel, B, Wright, JGC.Modified technique of stenting the atrial septum after Fontan operation. Cardiol Young 2001; 11 (Suppl 1): 70.Google Scholar
7.Miga, DE, Clark, JM, Cowart, KS, Radtke, WA.Transcatheter fenestration of hemi-Fontan baffles after completion of Fontan physiology using balloon dilatation and stent placement. Cathet Cardiovasc Diagn 1998; 43: 429–432.3.0.CO;2-E>CrossRefGoogle ScholarPubMed