Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-23T15:44:38.848Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of Mullins sheath to prevent prolapse of Gore Cardioform ASD Occluder in a child with severe scoliosis

Published online by Cambridge University Press:  02 December 2020

Christopher Herron Open the ORCID record for Christopher Herron [Opens in a new window]  and
Daisuke Kobayashi
Christopher Herron
Affiliation:
Division of Cardiology, Children’s Hospital of Michigan, Detroit, MI, USA
Daisuke Kobayashi*
Affiliation:
Department of Pediatrics, Central Michigan University College of Medicine, Mount Pleasant, MI, USA
*
Author for correspondence: Daisuke Kobayashi, MD, MPH, Division of Cardiology, Children’s Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI48201-2119, USA; Department of Pediatrics, Central Michigan University College of Medicine, Mount Pleasant, MI, USA. Tel: +1 (313) 745 5481; Fax: +1 (313) 993 0894. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Transcatheter device closure of an atrial septal defect (ASD) may require an additional supportive technique in challenging cases. We report a 15-year-old male with moderate-sized ASD and severe scoliosis. In spite of adequate positioning of the Gore Cardioform ASD occluder, the device was pulled into the right atrium by a retrieval cord due to the acute release of strong tension between the delivery catheter and its device upon locking. This phenomenon was prevented by the use of Mullins sheath, resulting in a successful release of the device. The use of a Mullins sheath may be considered to deliver a Gore Cardioform ASD device in selected cases.

Keywords

Key atrial septal defectGore Cardioform ASD OccluderMullins sheath
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 3 , March 2021 , pp. 504 - 506
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

de Hemptinne, Q, Horlick, EM, Osten, MD, et al. Initial clinical experience with the GORE® CARDIOFORM ASD occluder for transcatheter atrial septal defect closure. Catheter Cardiovasc Interv 2017; 90: 495–503.CrossRefGoogle ScholarPubMed
Sommer, RJ, Love, BA, Paolillo, JA, et al. ASSURED clinical study: New GORE® CARDIOFORM ASD occluder for transcatheter closure of atrial septal defect. Catheter Cardiovasc Interv 2020; 95: 1285–1295.CrossRefGoogle ScholarPubMed
Nounou, M, Harrison, A, Kern, M. A novel technique using a steerable guide catheter to successfully deliver an Amplatzer septal occluder to close an atrial septal defect. Catheter Cardiovasc Interv 2008; 72: 994–997.CrossRefGoogle ScholarPubMed
Wahab, HA, Bairam, AR, Cao, QL, Hijazi, ZM. Novel technique to prevent prolapse of the Amplatzer septal occluder through large atrial septal defect. Catheter Cardiovasc Interv 2003; 60: 543–545.CrossRefGoogle ScholarPubMed
Kutty, S, Asnes, JD, Srinath, G, Preminger, TJ, Prieto, LR, Latson, LA. Use of a straight, side-hole delivery sheath for improved delivery of Amplatzer ASD occluder. Catheter Cardiovasc Interv 2007; 69: 15–20.CrossRefGoogle ScholarPubMed
Wahab, HA, Almossawy, A, Al Bitar, I, Hijazi, ZM. Tips and tricks to prevent prolapse of the Amplatzer septal occluder through large atrial septal defects. Catheter Cardiovasc Interv 2011; 78: 1041–1044.CrossRefGoogle ScholarPubMed
Harper, RW, Mottram, PM, McGaw, DJ. Closure of secundum atrial septal defects with the Amplatzer septal occluder device: techniques and problems. Catheter Cardiovasc Interv 2002; 57: 508–524.CrossRefGoogle ScholarPubMed

Herron and Kobayashi supplementary material

Herron and Kobayashi supplementary material 1

Download Herron and Kobayashi supplementary material(Video)
Video 3.8 MB
Supplementary material: File

Herron and Kobayashi supplementary material

Herron and Kobayashi supplementary material 2

Download Herron and Kobayashi supplementary material(File)
File 12.2 KB

Herron and Kobayashi supplementary material

Herron and Kobayashi supplementary material 3

Download Herron and Kobayashi supplementary material(Video)
Video 15.1 MB