Use of a straight, side-hole delivery sheath for improved delivery of amplatzer ASD occluder

被引:22
作者
Kutty, Shelby
Asnes, Jeremy D.
Srinath, Gowdagere
Preminger, Tamar J.
Prieto, Lourdes R.
Latson, Larry A.
机构
[1] Cleveland Clin, Dept Pediat Cardiol, Cleveland, OH 44195 USA
[2] Yale Univ, Sch Med, Pediat Cardiol Sect, New Haven, CT USA
关键词
atrial septal defect; congenital heart disease; percutaneous closure; catheter sheath;
D O I
10.1002/ccd.20953
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
The Amplatzer ASD occluder may be difficult to position in some patients with a large atrial septal defect (ASD) or deficiency of one or more atrial septal rims. We developed a method to modify a Mullins transseptal sheath to enhance delivery. The resulting sheath is straight and has an exit orifice essential in the side of the distal portion of the sheath-a straight, side-hole (SSH) delivery sheath. We have used this modified delivery sheath in 140 successive patients with excellent results. The techniques of sheath modification and delivery of the device using the modified sheath are described. (C) 2006 Wiley-Liss, Inc.
引用
收藏
页码:15 / 20
页数:6
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