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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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References

1.Rashkind, WJ, Miller, WW. Creation of an atrial septal defect without thoracotomy: a palliative approach to complete transposition of the great vessels. J Am Med Ass 1966;196:991–992.CrossRefGoogle Scholar
2.King, TD, Mills, NL: Secundum atrial septal defects: non operative closure during cardiac catheterization. J Am Med Ass 1976;235:2506–2509.CrossRefGoogle Scholar
3.Lock, JE, Rome, JJ, Davis, R, VanPraagh, S, Perry, SB, VanPraagh, R, Keane, JF. Transcatheter closure of atrial septal defects: experimental studies. Circulation 1989;79: 1091–1099.CrossRefGoogle ScholarPubMed
4.Rao, PS, Sideris, EB, Hausdorf, G, Rey, C, Lloyd, TR, Beekman, RH, Worms, AM, Bourlon, F, Onorato, E, Khalilullah, M, Haddad, J: International experience with secundum atrial septal defect occlusion by the buttoned device. Am Heart J 1994;128:1022–1035.CrossRefGoogle ScholarPubMed
5.Hausdorf, G, Schneider, M, Franzbach, B, Kampmann, C, Kargus, K, Goeldner, B. Transcatheter closure of secundum atrial septal defects with the atrial septal defect occlusion system: initial experience in children. Heart 1996;75:83–88.CrossRefGoogle ScholarPubMed
6.Das, GS, Voss, G, Jarvis, G, Wyche, K, Gunther, R, Wilson, RF. Experimental atrial septal defect closure with a new transcatheter, self-centering device. Circulation 1993;88(part 1):1754–1764.CrossRefGoogle ScholarPubMed
7.Pavcnik, D, Wright, KC, Wallace, S. Monodisc device for percutaneous transcatheter closure of cardiac septal defects. Cardiovasc Intervent Radiol 1993;16:308–312.CrossRefGoogle Scholar
8.Sharafuddin, MJA, Gu, X, Titus, JL, Amplatz, K. SecundumASD closure with a new self-expanding prosthesis in swine. Circulation 1996;94(Suppl 1):1–56.Google Scholar
9.Bjørnstad, PG, Smevik, B, Fiane, AE, Tønnessen, TI, Fosse, E: Catheter based closure of atrial septal defects with a newly developed nitinol double disc. An experimental study. Cardiol in the Young 1997; 7: 220–224CrossRefGoogle Scholar
10.Sievert, H, Babic, UU, Ensslen, R, Merle, H, Osypka, P, Rubel, C, Scherer, D, Spies, H, Wiederspahn, T, Zeplin, HE. Verschluß des Vorhofseptumdefekres mit einem neuen Okklusionssystem. Z Kardiol 1996;85:97–103.Google Scholar
11.Das, GS, Shrivastava, S, O'Laughlin, MP, Salmon, AP, Mendelsohn, AM, Hijazi, ZM, Snider, J. Intermediate term follow up of patients after percutaneous closure of atrial septal defects with the Das Angelwings device. Circulation 1996;94(Suppl 1):1–56.Google Scholar
12.Sideris, EB, Leung, M, Yoon, JH, Chen, CR, Lochan, R, Worms, AM, Rey, C, Meier, B. Occlusion of large atrial septal defects with a centering buttoned device: early clinical experience. Am Heart J 1996;131:356–359.CrossRefGoogle ScholarPubMed
13.Lloyd, TR, Rao, PS, Beekman, RH III, Mendelsohn, AM, Sideris, EB. Atrial septal defect occlusion with the buttoned device (a multi-institutional U.S. trial). Am J Cardiol 1994;73:286–291.CrossRefGoogle ScholarPubMed
14.Agarwal, SK, Ghosh, PK, Mittal, PK. Failure of devices used for closure of atrial septal defects: Mechanisms and management. J Thorac Cardiovasc Surg 1996; 112:21–26.CrossRefGoogle ScholarPubMed