Percutaneous transcatheter patent foramen ovale closure using the right internal jugular venous approach

Abstract

Percutaneous transcatheter closure of a patent foramen ovale (PFO) is a therapeutic option in patients with paradoxical embolism. For patients in whom PFO closure is indicated when a femoral venous approach is not possible, we describe the successful closure of two PFOs using the right internal jugular venous approach.

Transcatheter closure of a residual aortopulmonary window through internal jugular vein access

“…The only previous report of a device closure of a left to right shunt through internal jugular venous access has been for a PFO. 6 The PA pressure was subsystemic though the size of the residual defect was 1 cm. The QP/QS was 3.6.…”

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.…”

Percutaneous transcatheter patent foramen ovale closure with a GORE® CARDIOFORM Septal Occluder device via the right internal jugular venous approach

“…Operators have typically relied on a femoral venous approach to deploy an occluder device across the PFO, and more recently a jugular venous approach has been employed [8]. An occlusion in a patient's IVC (which may become more common in the era of IVC filters) prevents the use of the femoral venous approach, and thus the jugular venous approach is advantageous.…”

“…An occlusion in a patient's IVC (which may become more common in the era of IVC filters) prevents the use of the femoral venous approach, and thus the jugular venous approach is advantageous. In previously documented cases, the jugular venous approach has been used to close a PFO using the AMPLATZER Septal Occluder (St. Jude Medical, Saint Paul, MN) device [8]. The technique for deployment of the GORE ® CARDIOFORM Septal Occluder device via the right internal jugular approach differs from the transfemoral approach in terms of how to approach crossing the intratrial septum and allowing adequate support for device advancement into the left atrium.…”