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Interventional closure of atrial septal defects with the Amplatzer® device: first clinical experience

Published online by Cambridge University Press:  19 August 2008

Per G. Bjørnstad ,
Jozef Masura ,
Erik Thaulow ,
Bjarne Smevik ,
Svein S. Michelsen ,
Tor Inge Tønnessen ,
Egil Seem  and
Erik Fosse
Per G. Bjørnstad*
Affiliation:
Department of Paediatric Cardiology, Rikshospitalet, The National Hospital, University of Oslo, Norway The Interventional Centre, Rikshospitalet, The National Hospital, University of Oslo, Norway
Jozef Masura
Affiliation:
Department of Paediatric Cardiology, University Hospital of Bratislava, Slovakia.
Erik Thaulow
Affiliation:
Department of Paediatric Cardiology, Rikshospitalet, The National Hospital, University of Oslo, Norway
Bjarne Smevik
Affiliation:
Department of Paediatric Radiology, Rikshospitalet, The National Hospital, University of Oslo, Norway
Svein S. Michelsen
Affiliation:
Department of Anaesthesiology, Rikshospitalet, The National Hospital, University of Oslo, Norway
Tor Inge Tønnessen
Affiliation:
Department of Anaesthesiology, Rikshospitalet, The National Hospital, University of Oslo, Norway The Interventional Centre, Rikshospitalet, The National Hospital, University of Oslo, Norway
Egil Seem
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Rikshospitalet, The National Hospital, University of Oslo, Norway
Erik Fosse
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Rikshospitalet, The National Hospital, University of Oslo, Norway The Interventional Centre, Rikshospitalet, The National Hospital, University of Oslo, Norway
*
Per G. Bjørnstad, Dept. of Paediatric Cardiology, Rikshospitalet, N-0027 OSLO, Norway. Tel: +47-22 86 90 92 Fax: +47 22 86 91 01
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Abstract

We report our initial experience in three children with percutaneous transvenous closure of significant atrial septal defects. A newly developed one-piece nitinol device is delivered through a long venous sheath of 7 French calibre under fluoroscopic and transoesophageal echocardiographic monitoring. Complete closure of all defects was verified by echocardiography on the morning after the procedure. No complication occurred. In the first two patients, the device slipped sideways into the defect. This was easily discovered and corrected. Our experience shows that the Amplatzer® device is reliable, easy to implant, and presents very clearly on transoesophageal echocardiography and fluoroscopy. 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 this device is feasible, rapid, and safe.

Keywords

InterventionsAmplatzer septal occludercatheter treatment
Type
Original Articles
Information
Cardiology in the Young , Volume 7 , Issue 3 , July 1997 , pp. 277 - 283
Copyright
Copyright © Cambridge University Press 1997

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