Closing down: transcatheter closure of intracardiac defects and vessel embolisations

Piéchaud, Jean-François

doi:10.1136/hrt.2003.016071

Cited by 12 publications

(4 citation statements)

References 23 publications

(16 reference statements)

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“…Test occlusion also offers the additional advantage to observe any changes in the electrocardiogram. 14 In our patient who developed transient changes in the ST segment of the electrocardiogram, a comparison of angiographies before and after placement of the plug confirmed that no major side branches had been compromised, and the plug was left in place.…”

Section: Discussionsupporting

confidence: 58%

Transcatheter closure of coronary arterial fistulas using the new Amplatzer^® vascular plug

et al. 2007

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We report our initial experience in using the Amplatzer vascular plug for closure of coronary arterial fistulas. The self-expanding, cylindrical, device is made from Nitinol wire mesh, and is available from 4 to 16 millimetres in diameter. We have now used the device to close fistulas in 3 patients, aged from 3 to 14 years, who presented with ratios of pulmonary-to-systemic flow from 1.5 to 3. In 2 patients, fistulas arising from the proximal right and left coronary arteries, with maximal diameters of 9 and 10 millimetres, respectively, had their narrowest diameter, of 6 millimetres, proximal to the entrance into the right atrium via a saccular aneurysm. The third fistula, with a maximal diameter of 16 millimetres, and with its origin from the circumflex coronary artery, entered the right atrium with nearly unrestricted flow, its narrowest diameter being 8 millimetres. For interventional closure, we chose plugs twice the diameter of the narrowest segment of the fistula, thus using 2 devices of 12 millimetres and one of 16 millimetres diameter. An arteriovenous loop was established through the fistula by snaring an exchange guide wire. Using a 7 or 8 French guide catheter inserted through the femoral vein, all plugs were placed at the narrowest segment of the fistula, leading to immediate complete closure of 2 fistulas. The third patient, with a fistula of the circumflex coronary artery, who received the largest plug initially had residual flow, but the fistula was found to be completely occluded at 12 months follow-up examination. We have demonstrated, therefore, safe and effective usage of the new vascular plug for transcatheter closure of moderate- to large-sized coronary arterial fistulas. The plug offers an alternative to cardiac surgery, or occlusion using coils.

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Section: Discussionsupporting

confidence: 58%

Transcatheter closure of coronary arterial fistulas using the new Amplatzer^® vascular plug

et al. 2007

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“…A trans-abdominal approach to a large descending VV has never been previously reported. However, the use of voluminous and large lumen devices required for vessels as large as the one in our patient increases the risks of transcatheter closure [ 10 ]. When patients present with a persistent VV, considerable anatomical variation is described, treatment options are complex, and complications are associated with significant morbidity.…”

Section: Discussionmentioning

confidence: 99%

Unligated vertical vein presenting as a large atrio-portal shunt in adulthood: a case report

Layton

Koulouroudias

Issa

et al. 2020

Journal of Surgical Case Reports

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A 28-year-old male with infra-cardiac totally anomalous pulmonary venous connection (TAPVC) repaired as new-born presented in adulthood with right heart strain and very large left atrium to portal vein vessel. Residual connections from pulmonary veins to systemic circulation are believed to represent persistent ‘vertical veins’ (VV) not ligated at the time of the initial surgery. In our patient, since endovascular occlusion was not judged suitable, the anomalous vessel was surgically ligated and resected. A review of the literature failed to find such a procedure reported in an adult patient and analyzed the intra-operative ligation of VV during repair of TAPVC.

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“…Do ponto de vista do tratamento percutâneo, além da prótese de CIV muscular utilizada, poderíamos ter empregado outros dispositivos da família Amplatzer (para oclusão da CIA, do forame oval ou persistência do canal arterial [8][9][10] ). Os plugues vasculares Amplatzer, recém-introduzidos para uso clínico, também seriam uma excelente opção, porém não estavam disponíveis no momento do procedimento 11 .…”

Section: Discussionunclassified

Oclusão percutânea da veia cava superior esquerda persistente conectada anomalamente no teto do átrio esquerdo

Arnoni¹,

Silva²,

Fontes³

et al. 2009

Rev. Bras. Cardiol. Invasiva

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Criança de 9 anos, sexo masculino, pesando 21 kg, foi encaminhada para nosso Serviço para avaliação de ABSTRACT Percutaneous Occlusion of the Left Superior Vena Cava with an Anomalous Connection to the Left Atrium Roof A rare case of persistent left superior vena cava anomalously connected to the roof of the left atrium associated with a small coronary sinus type atrial septal defect in a cyanotic 9-year-old child with a previous history of cerebral abscess is reported. The anomalous vessel was successfully occluded in the catheterization laboratory using an Amplatzer device.

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Closing down: transcatheter closure of intracardiac defects and vessel embolisations

Cited by 12 publications

References 23 publications

Transcatheter closure of coronary arterial fistulas using the new Amplatzer^® vascular plug

Transcatheter closure of coronary arterial fistulas using the new Amplatzer^® vascular plug

Unligated vertical vein presenting as a large atrio-portal shunt in adulthood: a case report

Oclusão percutânea da veia cava superior esquerda persistente conectada anomalamente no teto do átrio esquerdo

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Closing down: transcatheter closure of intracardiac defects and vessel embolisations

Cited by 12 publications

References 23 publications

Transcatheter closure of coronary arterial fistulas using the new Amplatzer® vascular plug

Transcatheter closure of coronary arterial fistulas using the new Amplatzer® vascular plug

Unligated vertical vein presenting as a large atrio-portal shunt in adulthood: a case report

Oclusão percutânea da veia cava superior esquerda persistente conectada anomalamente no teto do átrio esquerdo

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Transcatheter closure of coronary arterial fistulas using the new Amplatzer^® vascular plug

Transcatheter closure of coronary arterial fistulas using the new Amplatzer^® vascular plug