Transcatheter closure of modified Blalock-Taussig shunt with Gianturco-Grifka vascular occlusion device

Hoyer, Mark V.; León, Roque Antonio Alcívar; Fricker, F J

doi:10.1002/(sici)1522-726x(199912)48:4<365::aid-ccd7>3.0.co;2-j

Cited by 16 publications

(7 citation statements)

References 10 publications

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“…During the procedure, a GoreTex conduit is used that connects the subclavian artery (usually on the side in which the aortic arch is directed) with the pulmonary artery. During the total repair of a defect, a shunt is usually closed, although in some cases it is intentionally left unobstructed, and then closed by means of invasive cardiology procedures using various types of endovascular plugs [2][3][4][5]. A surgeon may leave a BT anastomosis when the risk of surgical ligation is too high, when the corrective surgery is performed with the access, which makes it difficult to close the anastomosis, or when it is believed that despite the correction of a defect a patient may require additional blood flow to the pulmonary circulation.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter closure of Blalock-Taussig anastomosis with brachial access in a child with obstruction of the left subclavian artery and secondary subclavian steal syndrome

Surmacz¹,

Moszura²,

Mroziński³

et al. 2012

pwki

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A b s t r a c tIn case of significant hypoxia in the course of congenital heart defect, when definite surgery is difficult, various palliative procedures are performed. One of the most frequently used is a modified Blalock-Taussig (BT) anastomosis. The BT anastomosis is closed during cardiac surgery. In some patients, BT anastomosis remains open after the surgery and requires closure by cardiac intervention using different types of closure devices. We describe a case of percutaneous closure of Blalock-Taussig anastomosis in a 4-yearold boy, with occluded left subclavian artery, presence of collateral circulation, and the subclavian artery steal syndrome to the left pulmonary artery through the patent BT anastomosis.Key words: Blalock-Taussig anastomosis, percutaneous closure S t r e s z c z e n i e W przypadku istotnego niedotlenienia w przebiegu wrodzonej sinicznej wady serca oraz niemożności przeprowadzenia operacji radykalnej u pacjentów wykonuje się różnego rodzaju zabiegi łagodzące. Jednym z częściej wykonywanych jest zmodyfikowane zespolenie Blalocka-Taussig (BT). Elementem końcowej korekcji wady jest zamknięcie zespolenia podczas operacji kardiochirurgicznej. U niektórych pacjentów, z różnych powodów, zespolenie BT pozostaje drożne po zabiegu i wymaga zamknięcia interwencyjnego z zastosowaniem różnego rodzaju implantów. Przedstawiono przypadek przezskórnego zamknięcia zespolenia BT u 4-letniego chłop-ca z niedrożnością lewej tętnicy podobojczykowej z obecnością krążenia obocznego przez tętnicę kręgową oraz zespołem podkradania do lewej tętnicy płucnej przez drożne zespolenie BT.Słowa kluczowe: zespolenie Blalocka-Taussig, zamknięcie przezskórne

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Section: Discussionmentioning

confidence: 99%

Transcatheter closure of Blalock-Taussig anastomosis with brachial access in a child with obstruction of the left subclavian artery and secondary subclavian steal syndrome

Surmacz¹,

Moszura²,

Mroziński³

et al. 2012

pwki

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“…36 Subsequently, many authors have reported using GGVOD in embolizing various vascular connections from pulmonary arteriovenous malformations to patent ductus arteriosus. [37][38][39][40][41][42][43][44][45][46][47] The GGVOD consists of a flexible nylon sack (available in 3, 5, 7, 9 mm) attached to a 4.5 Fr end-hole "sack" catheter ( Fig. 2).…”

Section: Embolization Devices and Materialsmentioning

confidence: 99%

“…6,8,112 Coils and other embolic devices have been used to embolize BT shunts. 40,44,56,58,176,177 Compared to embolization of aortopulmonary collaterals, transcatheter occlusion of BT shunt has been associated with more procedure failures and device embolizations. 6,124 Clearly, the difficulties have been related to the high velocity flow within the shunt and the absence of distal stenosis to anchor the embolic agents.…”

Section: Specific Applications Of Embolization Therapymentioning

confidence: 99%

“…Coils and devices can be deployed in a controlled manner with detachable systems or wire snare. 40,176,179 Balloon-tipped catheters were used to temporarily occlude the shunt to control the high velocity flow. 180 The shunts should be test occluded while monitoring oxygen saturation if there is any doubt about the adequacy of pulmonary blood flow.…”

Section: Specific Applications Of Embolization Therapymentioning

confidence: 99%

“…By using new devices and modified techniques, recent reports have shown improved results. Coils and devices can be deployed in a controlled manner with detachable systems or wire snare 40 , 176 , 179 . Balloon‐tipped catheters were used to temporarily occlude the shunt to control the high velocity flow 180 .…”

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Techniques and Applications of Transcatheter Embolization Procedures in Pediatric Cardiology

Sim

Alejos

Moore

2003

J Interven Cardiology

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Transcatheter embolization of congenital or acquired superfluous vascular structure has become routine procedures performed by interventional pediatric cardiologists. Embolization procedure is often part of a collaborative effort with cardiac surgeons to palliate complex congenital heart defect, such as in embolizing aortopulmonary collateral arteries in patient with single ventricle physiology. In other cases, the procedure is the definitive treatment as in embolizing coronary artery fistula. Pediatric cardiologists performing embolization procedures should be familiar with available technologies as well as understand the underlying cardiac anatomy and pathophysiology. This article provides a comprehensive review of presently available embolization agents and technologies. Some of the technologies are used only by interventional radiologists but may be useful to pediatric cardiologists. Specific clinical applications in pediatric cardiology are also discussed with summary of current literature. With continue advancement in transcatheter technology and operator expertise, all unwanted vascular communication should be amenable to transcatheter embolization.

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Shunt closure with Gianturco?Grifka device

Gaskin

O’Laughlin

1999

Cathet. Cardiovasc. Intervent.

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Transcatheter closure of modified Blalock-Taussig shunt with Gianturco-Grifka vascular occlusion device

Cited by 16 publications

References 10 publications

Transcatheter closure of Blalock-Taussig anastomosis with brachial access in a child with obstruction of the left subclavian artery and secondary subclavian steal syndrome

Transcatheter closure of Blalock-Taussig anastomosis with brachial access in a child with obstruction of the left subclavian artery and secondary subclavian steal syndrome

Techniques and Applications of Transcatheter Embolization Procedures in Pediatric Cardiology

Shunt closure with Gianturco?Grifka device

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