Strain Rate Imaging is a Superior Method for the Assessment of Regional Myocardial Function Compared With Doppler Tissue Imaging: A Study on Patients with Transcatheter Device Closure of Atrial Septal Defect

2005 ◽  
Vol 18 (5) ◽  
pp. 398-400 ◽  
Author(s):  
Giovanni Di Salvo ◽  
Giuseppe Pacileo ◽  
Pio Caso ◽  
Marina Verrengia ◽  
Alessandra Rea ◽  
...  
2020 ◽  
pp. 1-3
Author(s):  
Christopher Herron ◽  
Daisuke Kobayashi

Abstract Transcatheter device closure of an atrial septal defect (ASD) may require an additional supportive technique in challenging cases. We report a 15-year-old male with moderate-sized ASD and severe scoliosis. In spite of adequate positioning of the Gore Cardioform ASD occluder, the device was pulled into the right atrium by a retrieval cord due to the acute release of strong tension between the delivery catheter and its device upon locking. This phenomenon was prevented by the use of Mullins sheath, resulting in a successful release of the device. The use of a Mullins sheath may be considered to deliver a Gore Cardioform ASD device in selected cases.


2019 ◽  
Vol 41 (1) ◽  
pp. 54-61
Author(s):  
Michel Cabrera Ortega ◽  
Dunia Bárbara Benítez Ramos ◽  
Juan Carlos Ramiro Novoa ◽  
Francisco Javier Ozores Suarez ◽  
Francisco Díaz Ramírez ◽  
...  

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Rachel Hazaert ◽  
Nigel Wilson ◽  
Kathryn Rice

Abstract Background A single right coronary artery (RCA) with the left anterior descending (LAD) and circumflex coronary arteries located in the usual anatomic position and supplied by collaterals is the rarest variant of single RCA. Case summary We report a paediatric patient with an incidental finding of single RCA Lipton type RI pattern during assessment for transcatheter device closure of an ostium secundum atrial septal defect (secASD). Transthoracic echocardiography (TTE) revealed a dilated RCA, abnormal flow in the LAD, and no identifiable left main coronary artery. Diagnosis of a single RCA was confirmed with angiography. Dobutamine stress echocardiography revealed no inducible ischaemia. Transcatheter device closure of the secASD was subsequently successfully performed. Discussion TTE in paediatric patients can raise suspicion of coronary artery origin anomalies. Additional modalities, such as computed tomography and angiography, are required to comprehensively determine coronary artery anatomy. Functional assessment of ventricular function is also indicated. Coronary artery anatomy is important to delineate prior to transcatheter device closure of a secASD and should be part of the pre-procedure assessment.


Circulation ◽  
2002 ◽  
Vol 105 (12) ◽  
pp. 1403-1406 ◽  
Author(s):  
Theodore P. Abraham ◽  
Rick A. Nishimura ◽  
David R. Holmes ◽  
Marek Belohlavek ◽  
James B. Seward

Author(s):  
Muhammad Younas ◽  
Ahsan Beg ◽  
Tauseef Asma ◽  
Baqir Maqbool

Abstract Objective: To share our experience of transcatheter device closure of secundum atrial septal defect in children and adults. Methods: This descriptive cross-sectional study was conducted at department of Paediatric Cardiology Ch. Pervaiz Elahi Institute of Cardiology Multan from 2011 to September 2019. Patients with moderate to large ASD secundum without severe pulmonary hypertension were studied. All procedures were performed under general anaesthesia and trans-Oesophageal echo guidance. Success and safety of procedure were evaluated. Results: During study period, a total of 75 patients underwent ASD device closure. Mean age was 25 ± 1.53 (4 -54 years) and male to female ratio 1:2. Mean defect was 20.38 ± 0.58 (09 to 32 mm). Large defects (> 25 mm) were 17 (22.7 %). Significant PS (> 30 mm Hg) observed in three and valvuloplasty performed. Device size was selected on the basis of TOE measurement + 4-5 mm. Balloon sizing was performed in only three patients. Amplatzer   septal occluder was used in 80 %. Balloon assisted technique was used in 09 (12 %) patients. All the procedures were successful except two (2.7 %) where device embolized and retrieved by surgery. Transient arrhythmias were observed in 05 (6.6 %) and small pericardial effusion which was managed conservatively in one patient. There was no procedure related mortality. Conclusion: Transcatheter closure of moderate to large ASD secundum in children and adults is a safe procedure. Among the major events, device embolizaion was common. Other complications were rare including small pericardial effusion and transient arrhythmias. Continuous...


2005 ◽  
Vol 18 (9) ◽  
pp. 930-933 ◽  
Author(s):  
Giovanni Di Salvo ◽  
Manuela Drago ◽  
Giuseppe Pacileo ◽  
Alessandra Rea ◽  
Marianna Carrozza ◽  
...  

2002 ◽  
Vol 21 (9) ◽  
pp. 1022-1030 ◽  
Author(s):  
J. D'hooge ◽  
B. Bijnens ◽  
J. Thoen ◽  
F. Van de Werf ◽  
G.R. Sutherland ◽  
...  

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