Surgical removal of an embolised patent ductus arteriosus amplatzer occluding device in a 4-year-old girl

Shahabuddin, Syed; Atiq, Mehnaz; Hamid, Mohammad; Amanullah, Muneer

doi:10.1510/icvts.2007.152298

Cited by 22 publications

(15 citation statements)

References 9 publications

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“…These include systemic or pulmonary embolization, hemolysis, residual shunts, hemorrhaging after removing the vascular access, and stenosis of the pulmonary artery (10,11,19).…”

Section: Discussionmentioning

confidence: 99%

“…To date, many device dislocation have been reported, most of them noticed during the intra-operative and immediate post-operative period (1,19,21). In human medicine, 6 (2), 8 (11) and 12 (10) months after the PDA closure procedure, late device displacement was reported for reasons still unknown.…”

Section: Discussionmentioning

confidence: 99%

“…According to numerous reports and the authors' own experience, leaving the coil in the distal part of the pulmonary artery does not induce undesirable symptoms (17,22). However, in case of the translocation of a large embolization device, such as ACDO, it must be removed surgically (10,19). This requires cardiac surgery and the use of extracorporeal circulation, which is unavailable in most veterinary centers worldwide.…”

Section: Discussionmentioning

confidence: 99%

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Late Amplatzer device displacement after percutaneous PDA embolization: case description.

Janiszewski¹,

Pasławska²,

Pasławski

et al. 2017

Medycyna Weterynaryjna

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A 6-month-old, 17 kg, male Labrador Retriever was presented for an evaluation of a suspected patent ductus arteriosus (PDA). Transthoracic echocardiography confirmed a left-to-right shunting PDA with a minimal ductal diameter of 3.5 mm. A transcatheter PDA occlusion was performed, and a 16 mm Amplatzer Vascular Plug II was selected for the procedure. Within 13 days of discharge, the dog developed sudden lethargy, tachypnea, and coughing after physical activity. Thoracic radiographs showed the Amplatzer device to be abnormally positioned in the lumen of the pulmonary artery with a distinct alveolar pattern. Given the progressive cardiopulmonary distress of the dog, the owners opted for euthanasia. In the present case study, the authors have not been able to satisfactorily explain why the device migrated several days after the procedure. In order to avoid device migration, greater emphasis should be placed on strict activity restriction in dogs after percutaneous PDA occlusion.

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“…These include systemic or pulmonary embolization, hemolysis, residual shunts, hemorrhaging after removing the vascular access, and stenosis of the pulmonary artery (10,11,19).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Late Amplatzer device displacement after percutaneous PDA embolization: case description.

Janiszewski¹,

Pasławska²,

Pasławski

et al. 2017

Medycyna Weterynaryjna

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“…• Transkateter yolla PDA kapatmada karşılaşılabilecek komplikasyonlar Transkateter yolla PDA kapatma işlemi etkili ve güvenli olmasına rağmen, bazı hastalarda cihaz embolizasyonu, rezidüel defekti olanlarda şiddetli hemoliz, duktusta rekanalizasyon, sol pulmoner arter ve inen aortaya cihazın protrüzyonu gibi komplikasyonlar görülebilir (57,(58)(59)(60)(61). Operatör duktusun boyutlarını ölçerken dikkatli ve titiz davranmadığında, ayrıca cihazın kalibrasyonunu doğru yapamadığında, uygun olmayan cihaz seçiminde ve ağır pulmoner hipertansiyon varlığında embolizasyon riski ve cihaz protrüzyonu gibi sorunlar meydana gelebilir.…”

Section: Ayrıcı Tanıunclassified

Untitled

2017

Eur J Ther

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ÖzetNormal kardiyovasküler gelişme sürecinde, duktus arteriyozus sol altıncı primitif aortik arktan köken alan, pulmoner arteri sol subklavyen arterin çıkış yerinin hemen distalinden inen aortaya bağlayan yapı olarak gelişir. Duktus arteriyozus, fetal hayatta işlevsel olup, doğumdan hemen sonra term bebeklerde akciğerlerin fonksiyon görmeye başlaması ile 18-24 saat içinde fizyolojik, birkaç hafta içinde anatomik olarak iki aşamalı bir şekilde kapanır. Son yirmi yılda transkateter yolla kapatma işlemi tercih edilen yöntem olmuştur. Sonuç olarak; transkateter yolla patent duktus arteriyozus kapatmada, başlangıç ile karşılaştırıldığında, günümüzde gelinen nokta çok ileridedir. Teknolojinin hızlı gelişiminin getirdiği cihaz çeşitliliği ve uygulama kolaylığı, birçok patent duktus arteriyozus tipinin transkateter yolla kapatılabilir hale gelmesini sağlamıştır. Duktus kapatma işleminde farklı cihazlar kullanılmaya başlanmıştır. Koiller genellikle küçük duktuslarda, oklüderler ise orta ve geniş duktuslarda kullanılmaktadır. Anahtar kelimeler: Doğumsal kalp hastalığı; patent duktus arteriyozus; şant AbstractIn normal cardiovascular development, the proximal portions of the sixth pair of embryonic aortic arches persist as the proximal branch pulmonary arteries and the distal portion of the left sixth arch persists as the ductus arteriosus, connecting the main pulmonary trunk with the left dorsal aorta. In full-term infants, postnatal closure of the ductus is effected in two phases: smooth muscle constriction produces ''functional'' closure of the lumen of the ductus within 18 to 24 hours after birth; and ''anatomical'' occlusion of the lumen occurs over the next few days or weeks. Over the past two decades, transcatheter occlusion of patent ductus arteriosus has evolved to be the procedure of choice. Several devices have been used to close patent ductus arteriosus in children. Coils are generally used for small PDAs and occluding devices for larger PDAs.

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“…There was one death as a result of this last complication. 11 Migration of devices placed in the heart is usually diagnosed as a result of clinical suspicion combined with an echocardiogram that shows that the Amplatzer  device is no longer present. The device is located systemically using angiotomography.…”

Section: Description Of the Casementioning

confidence: 99%

Complicação após tratamento percutâneo de comunicação interatrial: migração de dispositivo Amplatzer® para bifurcação aórtica – relato de caso

Silvestre

Sardinha

et al. 2015

J. vasc. bras.

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Complications arising from use of the Amplatzer © device to correct endovascular conditions such as atrial septal defect have been described with increasingly frequency. We report on a case in which this device was used to correct an atrial septal defect, but 6 months later migrated to the abdominal aorta bifurcation. Removal of the foreign body was accomplished by conventional surgery after an endovascular attempt had failed.Keywords: endovascular procedures; abdominal aorta; embolism. ResumoCom o uso crescente do dispositivo Amplatzer  para diversos procedimentos endovasculares, dentre os quais a comunicação interatrial, complicações decorrentes de seu uso vêm sendo descritas. Relatamos um caso em que o dispositivo foi empregado para correção de comunicação interatrial e, seis meses depois, migrou para a bifurcação da aorta abdominal. A retirada do corpo estranho foi realizada por cirurgia convencional, após insucesso de tentativa por via endovascular.Palavras-chave: procedimentos endovasculares; aorta abdominal; embolia.

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Surgical removal of an embolised patent ductus arteriosus amplatzer occluding device in a 4-year-old girl

Cited by 22 publications

References 9 publications

Late Amplatzer device displacement after percutaneous PDA embolization: case description.

Late Amplatzer device displacement after percutaneous PDA embolization: case description.

Untitled

Complicação após tratamento percutâneo de comunicação interatrial: migração de dispositivo Amplatzer® para bifurcação aórtica – relato de caso

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