Static balloon atrial septostomy in Japan in shortage of standard balloon septostomy catheter

Baba, Kenji; Suda, Kenji; Takamuro, Motoki; Takahashi, S.; Sugiyama, Hisashi; Fujimoto, Kazuto; Kitano, Masataka; Fujii, Takeshiro; Kise, Hiroaki; Ohtsuki, Sinichi; Tomita, Hideshi

doi:10.1016/j.jjcc.2021.04.008

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Furthermore, because of the recent shortage of pull-through catheters, static BAS has been used as an alternative treatment in situations where pull-through BAS cannot be used, but we need to pay attention to the potential difference in the incidence of adverse events. 23 Although risk models for cardiac catheterization based on procedure-type risk categories have been reported, risk factors for adverse events specific to BAS have not been reported. 24 This study showed for the first time that those weighing <3 kg have an approximately four-fold risk of adverse events related to static BAS.…”

Section: Discussionmentioning

confidence: 99%

Practice and Safety of Static Balloon Atrial Septostomy Based on a Nationwide Registry Data

Inuzuka

Tachimori

Kim

et al. 2022

Circ J

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defect is an alternative method, especially when the atrial septum is thickened and resistant to pull-through BAS. Such conditions can be anticipated in infants aged >4-6 weeks or in those with left-sided obstructive lesions such as hypoplastic left heart syndrome (HLHS). 2-5 In addition, all the catheters that could be used for pull-through BAS in Japan required a sheath of 6Fr or larger until recently, which may increase access-related complications in small infants. Therefore, in Japan, static BAS has also been used as an alternative to pull-through BAS to reduce vascular injury in patients with low body weight.Although static BAS cannot be replaced by surgical Balloon atrial septostomy (BAS) is an essential catheterization procedure for some congenital heart lesions that require interatrial communication, such as to increase cardiac output in right-sided obstructive lesions, to enhance mixing in patients with transposition of the great arteries (TGA), and to relieve left atrial hypertension in left-sided obstructive lesions.Pull-through BAS, in which the inflated balloon catheter is forcefully pulled through the atrial septum to tear open the atrial septum, is the conventional and standard BAS method. 1 Static BAS (or static balloon atrial septal dilation) using a dilation balloon to enlarge the atrial septal

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Section: Discussionmentioning

confidence: 99%

Practice and Safety of Static Balloon Atrial Septostomy Based on a Nationwide Registry Data

Inuzuka

Tachimori

Kim

et al. 2022

Circ J

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Improvised bespoke technique for atrial septostomy in the shortage of atrioseptostomy balloon catheters

Haddad,

Alawadhi,

Al Soufi

et al. 2023

Cardiol Young

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Atrioseptostomy balloon catheter is an essential item to have on our shelves. However, the recall and shortage in production of the commonly used balloon atrioseptostomy catheters posed an imminent threat to our patients. Herein, we present the case of a newborn with a post-natal diagnosis of simple transposition of great arteries and restrictive atrial communication where repeated static balloon atrial septostomy using a 9 mm x 20 mm Sterling balloon failed to improve his status. We had to improvise per-operatively a new bespoke technique to perform a vital pull-through balloon atrial septostomy. The distal third of a 10 mm x 20 mm semi-compliant Cristal balloon was exteriorised out the tip of a 6-Fr 55 cm Cook Flexor sheath in the left atrium, and both were simultaneously pulled back to the right atrium to create an 8 mm septal defect. The procedure was successful without any complications. The baby was weaned off prostaglandin on day 3 and surgically repaired on day 5 with excellent results.

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Static balloon atrial septostomy in Japan in shortage of standard balloon septostomy catheter

Cited by 2 publications

References 12 publications

Practice and Safety of Static Balloon Atrial Septostomy Based on a Nationwide Registry Data

Practice and Safety of Static Balloon Atrial Septostomy Based on a Nationwide Registry Data

Improvised bespoke technique for atrial septostomy in the shortage of atrioseptostomy balloon catheters

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