Transcatheter creation of an atrial septal defect using radiofrequency perforation

Justino, Henri; Benson, Lee; Nykanen, David

doi:10.1002/ccd.1244

Cited by 57 publications

(34 citation statements)

References 20 publications

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“…The Baylis radiofrequency transcatheter perforation system has also been used to cross a thickened IAS [6]. The use of a BRK transseptal needle in conjunction with an electrosurgical generator has several advantages over commercially available RF perforation generators.…”

Section: Discussionmentioning

confidence: 99%

Electrosurgical energy in combination with a transseptal needle: A novel method for the creation of an atrial communication in hypoplastic left heart syndrome with intact atrial septum

Gordon

Levi

Shannon

2008

Cathet Cardio Intervent

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Neonates with hypoplastic left heart syndrome (HLHS) and intact atrial septum (IAS) usually present with severe acidosis and hypoxemia that necessitate immediate intervention to create an atrial septal defect (ASD). Transcatheter creation of an ASD in these patients requires transseptal puncture of a thickened atrial septum in the setting of a very small left atrium. We report on a novel method of perforating the atrial septum using radio-frequency energy in combination with a transseptal needle to facilitate transseptal puncture and subsequent stent placement in a very thick atrial septum of a newborn with HLHS/IAS and a small left atrium.

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Section: Discussionmentioning

confidence: 99%

Electrosurgical energy in combination with a transseptal needle: A novel method for the creation of an atrial communication in hypoplastic left heart syndrome with intact atrial septum

Gordon

Levi

Shannon

2008

Cathet Cardio Intervent

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“…Brockenbrough technique of trans-septal puncture was extended to pediatric patients [280] and more recently to neonates [281]. Alternatively, radiofrequency perforation [282] may be used. In either technique, once the left atrium is entered, static dilatation of the atrial septum (as described in the preceding section), cutting balloon septoplasty [283] or stent implantation (to be described in the next section) have to be performed to keep the atrial septum open.…”

Section: Trans-septal Puncturementioning

confidence: 99%

Historical Aspects of Transcatheter Treatment of Heart Disease in Children

Rao¹

2012

Pediat Therapeut

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The very first transcatheter intervention to treat congenital cardiac defects was reported by Rubio-Alvarez et al. [1] in 1953, when they performed pulmonary valvotomy using a modified ureteral catheter. A decade later Dotter, Rashkind, Porstmann and their associates described progressive dilatation of peripheral arterial stenotic lesions, balloon atrial septostomy and transcatheter occlusion of patent ductus arteriosus, respectively. The purpose of this review is to present these and other historical developments of catheter-based interventions in the treatment of heart disease in children. Historical aspects of 1. balloon angioplasty/valvuloplasty of valvar pulmonary stenosis, valvar aortic stenosis, fixed subaortic stenosis, native aortic coarctation, postsurgical aortic recoarctation, branch pulmonary artery stenosis, mitral stenosis, cyanotic heart defects with pulmonary oligemia, stenotic bioprosthetic valves, congenital tricuspid and mitral stenosis, truncal valve stenosis, subvalvar pulmonary stenosis, supravalvar pulmonary stenosis (congenital membranous or postoperative), stenosis of the aorta (Leriche syndrome, atherosclerotic and Takayasu's arteritis), baffle obstruction following Mustard or Senning procedure (both systemic and pulmonary venous obstructions), superior and inferior vena caval obstructions, pulmonary vein stenosis, pulmonary veno-occlusive disease, vertical vein stenosis in total anomalous pulmonary venous connection, pulmonary venous obstruction following repair of total anomalous pulmonary venous obstruction, specially designed pulmonary artery bands, cor triatriatum, cor triatriatum dexter, and coronary artery stenotic lesions that develop after Kawasaki disease; 2. stents to enlarge stenotic lesions of branch pulmonary arteries, systemic veins, systemic and pulmonary venous pathways after Mustard procedure, aorta, right ventricular outflow conduits, pulmonary veins and native right ventricular outflow tract or to keep the ductus arteriosus open in patients with pulmonary atresia and hypoplastic left heart syndrome and maintaining patency of stenosed aorto-pulmonary collateral vessels, surgically created but obstructed shunts or acutely thrombosed shunts as well as covered stents; 3. transcatheter occlusion of cardiac defects comprising of atrial septal defect, patent foramen ovale, patent ductus arteriosus, ventricular septal defect and aortopulmonary window and 4. catheter-based atrial septostomy such as Rashkind balloon atrial septostomy, Park's blade atrial septostomy, balloon angioplasty of the atrial septum, trans-septal puncture and atrial septal stents were presented.

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“…7 A built-in retractable blade (knife) cuts the lower margin of the patent foramen ovale (PFO) which is followed by balloon atrial septostomy. More recently, static balloon angioplasty, 6,8,9 stents, [10][11][12] Brockenbrough atrial septal puncture, 12 radiofrequency ablation [13][14][15] and cutting balloons were applied to create and/or enlarge the atrial defects 4 . In most patients conventional balloon atrial septostomy is all that is necessary to palliate TGA patients until surgery.…”

Section: Septostomy Proceduresmentioning

confidence: 99%