Occlusion of large atrial septal defects with a centering buttoned device: Early clinical experience

被引:35
作者
Sideris, EB
Leung, M
Yoon, JH
Chen, CR
Lochan, R
Worms, AM
Rey, C
Meier, B
机构
[1] ATHENIAN INST PEDIAT CARDIOL, ATHENS, GREECE
[2] UNIV HONG KONG, DIV PAEDIAT CARDIOL, HONG KONG, HONG KONG
[3] YONSEI UNIV, WONJU COLL MED, DIV CARDIOL, WONJU, SOUTH KOREA
[4] GUANDONG CARDIOVASC INST, NEW DELHI, INDIA
[5] BATRA HOSP & MED RES CTR, NEW DELHI, INDIA
[6] UNIV NANCY, SERV CARDIOL ENFANTILE, NANCY, FRANCE
[7] UNIV BERN, DIV CARDIOL, BERN, SWITZERLAND
[8] HOP CARDIOL, CARDIOL ENFANTILE, LILLE, FRANCE
关键词
D O I
10.1016/S0002-8703(96)90366-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A feasibility clinical study was conducted for the transcatheter occlusion of large ostium secundum atrial septal defects with the centering buttoned device. The centering buttoned device is a modification of the regular buttoned device in which a centering counter-occluder is sutured at the central 40% portion of the occluder. During centering it is stretched, forming a parachute-shaped structure and pulling the occluder over the center of the defect. During buttoning, the counter-occluder forms a double figure eight, opposing the right atrial side of the atrial septum. Occlusion was performed in 12 patients aged 6 to 56 years. All had been rejected for transcatheter occlusion by the regular buttoned device, because of either their defect size or the lack of adequate septal rim. The defect size varied between 23 and 31 mm, and the device size varied between 45 and 60 mm. Nine had immediate effective occlusions of their defects and three residual shunts. One patient with unbuttoning had hemolysis at 2 weeks and underwent surgery. Early results of the transcatheter occlusion of large atrial septal defects are promising, and larger clinical trials are justified.
引用
收藏
页码:356 / 359
页数:4
相关论文
共 8 条
[1]   SECUNDUM ATRIAL SEPTAL-DEFECT - NONOPERATIVE CLOSURE DURING CARDIAC-CATHETERIZATION [J].
KING, TD ;
THOMPSON, SL ;
STEINER, C ;
MILLS, NL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1976, 235 (23) :2506-2509
[2]   ATRIAL SEPTAL-DEFECT OCCLUSION WITH THE BUTTONED DEVICE (A MULTIINSTITUTIONAL US TRIAL) [J].
LLOYD, TR ;
RAO, PS ;
BEEKMAN, RH ;
MENDELSOHN, AM ;
SIDERIS, EB .
AMERICAN JOURNAL OF CARDIOLOGY, 1994, 73 (04) :286-291
[3]   INTERNATIONAL EXPERIENCE WITH SECUNDUM ATRIAL SEPTAL-DEFECT OCCLUSION BY THE BUTTONED DEVICE [J].
RAO, PS ;
SIDERIS, EB ;
HAUSDORF, G ;
REY, C ;
LLOYD, TR ;
BEEKMAN, RH ;
WORMS, AM ;
BOURLON, F ;
ONORATO, E ;
KHALILULLAH, M ;
HADDAD, J .
AMERICAN HEART JOURNAL, 1994, 128 (05) :1022-1035
[4]   INTERVENTIONAL CARDIAC-CATHETERIZATION IN CONGENITAL HEART-DISEASE [J].
RASHKIND, WJ .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1985, 7 (01) :1-11
[5]   DOUBLE-UMBRELLA CLOSURE OF ATRIAL DEFECTS - INITIAL CLINICAL-APPLICATIONS [J].
ROME, JJ ;
KEANE, JF ;
PERRY, SB ;
SPEVAK, PJ ;
LOCK, JE .
CIRCULATION, 1990, 82 (03) :751-758
[6]   TRANSVENOUS ATRIAL SEPTAL-DEFECT OCCLUSION BY THE BUTTONED DEVICE [J].
SIDERIS, EB ;
SIDERIS, SE ;
THANOPOULOS, BD ;
EHLY, RL ;
FOWLKES, JP .
AMERICAN JOURNAL OF CARDIOLOGY, 1990, 66 (20) :1524-1526
[7]   TRANSVENOUS ATRIAL SEPTAL-DEFECT OCCLUSION IN PIGLETS WITH A BUTTONED DOUBLE-DISK DEVICE [J].
SIDERIS, EB ;
SIDERIS, SE ;
FOWLKES, JP ;
EHLY, RL ;
SMITH, JE ;
GULDE, RE .
CIRCULATION, 1990, 81 (01) :312-318
[8]  
SIDERIS EB, 1991, CIRCULATION, V84, P68