Multimodality fusion imaging to guide percutaneous sinus venosus atrial septal defect closure

Batteux, Clément; Meliani, A.; Brenot, Philippe; Hascoët, Sébastien

doi:10.1093/eurheartj/ehaa292

Cited by 19 publications

(18 citation statements)

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“…If a right-to-left shunt is confirmed, An ostium secundum represents the only type of ASD that can be closed percutaneously in the majority of cases. Anecdotal cases of percutaneous closure of other ASD types have been reported 56 . Percutaneous closure of an ASD is considered the first-choice treatment for ostium secundum ASD 57 .…”

Section: Patent Foramen Ovale and Atrial Septal Defect Closurementioning

confidence: 99%

Echocardiographic guidance in transcatheter structural cardiac interventions

Agricola¹,

Meucci²,

Ancona³

et al. 2022

EuroIntervention

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Catheter-based treatment of structural heart diseases (SHD) has seen tremendous advances in the past decades, thanks to the development of new devices and advances in imaging techniques. Today, we have an extensive armamentarium of imaging tools for preprocedural planning, intraprocedural guidance and follow-up of SHD. Intraprocedural guidance is based mainly on transoesophageal echocardiography; however, other imaging modalities are used as complementary or alternative techniques, each of them with its strengths and weaknesses. Thus, a multimodality imaging approach provides added values in this setting.

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Section: Patent Foramen Ovale and Atrial Septal Defect Closurementioning

confidence: 99%

Echocardiographic guidance in transcatheter structural cardiac interventions

Agricola¹,

Meucci²,

Ancona³

et al. 2022

EuroIntervention

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“…The first stent implant reports in 2013 and 2014 were followed by sporadic case reports and small series using different stents and implantation techniques. [1][2][3][4][5][6][7][8][9][10][11][12] As with many new procedures that develop and evolve using existing technology, the equipment may not be of an ideal design and technical compromises may need to be made. More recently a few larger series of more than 20 patients have been reported with encouraging results so that covered stent correction is now becoming an acceptable alternative to surgical repair in carefully selected cases.…”

Section: Introductionmentioning

confidence: 99%

“…Until recently this was a condition that was exclusively treated by open heart surgery. The first stent implant reports in 2013 and 2014 were followed by sporadic case reports and small series using different stents and implantation techniques 1‐12 . As with many new procedures that develop and evolve using existing technology, the equipment may not be of an ideal design and technical compromises may need to be made.…”

Section: Introductionmentioning

confidence: 99%

Correction of sinus venosus atrial septal defects with the 10 zig covered Cheatham‐platinum stent – An international registry

Rosenthal

Qureshi

Jones

et al. 2021

Cathet Cardio Intervent

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Background Covered stent correction of sinus venosus ASDs (SVASD) is a relatively new technique. Challenges include anchoring a sufficiently long stent in a nonstenotic superior vena cava (SVC) and expanding the stent at the wider SVC‐RA junction without obstructing the anomalous right upper pulmonary vein (RUPV). The 10‐zig covered Cheatham‐platinum (CCP) stent has the advantage of being available in lengths of 5–11 cm and dilatable to 34 mm in diameter. Methods An international registry reviewed the outcomes of 10‐zig CCP stents in 75 patients aged 11.4–75.9 years (median 45.4) from March 2016. Additional stents were used to anchor the stent in the SVC or close residual shunts in 33/75. An additional stent was placed in 4/5 (80%) with 5/5.5 cm CCPs, 18/29 (62%) with 6 cm CCPs, 5/18 (28%) with 7 cm CCPs, 5/22 (23%) with 7.5/8 cm CCPs and 0/1 with an 11 cm CCP. A “protective” balloon catheter was inflated in the RUPV in 17. Results Early stent embolization in two patients required surgical removal and defect repair and tamponade was drained in one patient. The CT at 3 months showed occlusion of the RUPV in one patient. Follow up is from 2 months to 5.1 years (median 1.8 years). QP:QS has reduced from 2.5 ± 0.5 to 1.2 ± 0.36 (p < .001) and RVEDVi from 149.1 ± 35.4 to 95.6 ± 21.43 ml/m2 (p < .001). Conclusions Ten‐zig CCPs of 7–8 cm appear to provide reliable SVASD closure with a low requirement for additional stents. Careful selection of patients and meticulous attention to detail is required to avoid complications.

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“…These 3D printed models incorporate all the anatomical variables, the geometry of the defect but also the surrounding features of the valve and offers devices testing. Already, pre-procedural tests on 3D printed models have shown to be useful to plan transcatheter left atrial appendage closure [ 17 ], percutaneous pulmonary valve implantation [ 12 ] and transcatheter correction of sinus venosus atrial septal defect [ 18 ]. We aim in this study to assess the benefit of hands-on simulation on 3D printed models to plan complex transcatheter PVL closure.…”

Section: Introductionmentioning

confidence: 99%

3D-Printing to Plan Complex Transcatheter Paravalvular Leaks Closure

Ciobotaru

Tadros

Batistella

et al. 2022

JCM

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Background: Percutaneous closure of paravalvular leak (PVL) has emerged as an alternative to surgical management in selected cases. Achieving complete PVL occlusion, while respecting prosthesis function remains challenging. A multimodal imaging analysis of PVL morphology before and during the procedure is mandatory to select an appropriate device. We aim to explore the additional value of 3D printing in predicting device related adverse events including mechanical valve leaflet blockade, risk of device embolization and residual shunting. Methods: From the FFPP registries (NCT05089136 and NCT05117359), we included 11 transcatheter PVL closure procedures from three centers for which 3D printed models were produced. Cardiac CT was used for segmentation for 3D printed models (3D-heartmodeling, Caissargues, France). Technology used a laser to fuse very fine powders (TPU Thermoplastic polyurethane) into a final part-laser sintering technology (SLS) with an adapted elasticity. A simulation on 3D printed model was performed using a set of occluders. Results: PVLs were located around aortic prostheses in six cases, mitral prostheses in four cases and tricuspid ring in one case. The device chosen during the simulation on the 3D printed model matched the one implanted in eight cases. In the three other cases, a similar device type was chosen during the procedures but with a different size. A risk of prosthesis leaflet blockade was identified on 3D printed models in four cases. During the procedure, the occluder was removed before release in one case. In another case the device was successfully repositioned and released. In two patients, leaflet impingement was observed post-operatively and surgical device removal had to be performed. Conclusion: In a case-series of complex transcatheter PVL closure procedures, hands-on simulation testing on 3D printed models proved its usefulness to plan and facilitate these challenging procedures.

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Multimodality fusion imaging to guide percutaneous sinus venosus atrial septal defect closure

Cited by 19 publications

References 0 publications

Echocardiographic guidance in transcatheter structural cardiac interventions

Echocardiographic guidance in transcatheter structural cardiac interventions

Correction of sinus venosus atrial septal defects with the 10 zig covered Cheatham‐platinum stent – An international registry

3D-Printing to Plan Complex Transcatheter Paravalvular Leaks Closure

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