Percutaneous closure of atrial septal defect via transjugular approach with the Amplatzer septal occluder after unsuccessful attempt using the CardioSEAL device

Abstract

Percutaneous closure of a secundum atrial septal defect was performed successfully via the jugular approach in a 77-year-old patient with heparin-induced thrombocytopenia and total occlusion of the inferior vena cava using the Amplatzer septal occluder after an unsuccessful attempt using the CardioSEAL septal occluder. This case demonstrates the advantages of the jugular approach in the patient with difficult anatomy and the advantage of the Amplatzer over the CardioSEAL device in this situation.

Percutaneous Closure of ASD in a Child with Bilateral Femoral Vein Obstruction: An Unconventional Route

“…This was a complication most likely due to previous femoral venous access during prolonged ICU stay in neonatal period On reviewing the literature, we could find only few case reports, mainly in adults, of transjugular approach for percutaneous closure of ASD (4,5,6,7,8). In pediatric age group we could find only two case reports (9,10) The difficulties associated with the transjugular approach include placing a large sheath in the jugular vein, manipulating the wire and catheter past the defect, and stabilizing the catheter or guidewire prior to deployment of device.…”

Modified transjugular approach for percutaneous atrial septal defect closure

“…It has been used for patients with heterotaxy and interrupted IVC,[3] severe scoliosis,[4] patient with iatrogenic total occlusion of the IVC[5] and residual, posterosuperiorly located ASD, following total anomalous pulmonary venous connection repair. [5] Regarding the technique of transjugular approach for PCC of ASD, crossing the defect and retaining a stable wire position in the LA for sheath delivery appear to be the most crucial steps for successful closure.…”

Transjugular closure of a two-hole atrial septal defect in a child with iliac vein thrombosis

“…[12345] ASD closure in a child using a transjugular venous approach is in frequently reported. Ozbarlas, et al .…”

“…[12] There are few case reports in adults regarding the transjugular approach during the percutaneous transcatheter closure of ASD. [345]…”