A case of multiple ASDs treated with AMPLATZER™ Cribriform Multi-Fenestrated Septal Occluder using balloon dilation technique for a central small defect

DOI

Bibliographic Information

Other Title
  • AMPLATZER™ Cribriform Multi-Fenestrated Septal Occluder留置の際にバルーンで中央の小欠損を拡大しデリバリーシースを通過させた多孔性心房中隔欠損の一例

Abstract

The AMPLATZER™ Cribriform Multi-Fenestrated Septal Occluder (Cribriform), with the minimal interconnecting waist, is a device designed to cover multiple defects. Herein, we report a case of multiple atrial septal defects (mASDs), in which the central defect was too small for the delivery sheath to get through.The patient was a 23-year-old woman, who was diagnosed with atrial septal defect during infancy and referred to our hospital for treatment. Transesophageal echocardiogram revealed an atrial septal aneurysm and three atrial septal defects. Upon percutaneous closure of the atrial defects, the central defect was too small to get the 8 Fr delivery sheath through. We used a MUSTANG 5×20 mm balloon catheter to dilate the central defect. After dilatation, the delivery sheath smoothly passed through the defect.Cribriform should be positioned through the central defect; however, the defect may be too small to get the delivery sheath through. Dilatation of the defect using a 5-mm balloon enabled the delivery sheath to reach left atrium.When the central defect of mASDs is too small for device delivery, the balloon dilation technique can be a good option.

Journal

  • Journal of JPIC

    Journal of JPIC 8 (2), 21-24, 2024-01-24

    Japanese Society of Pediatric Interventional Cardiology

Keywords

Details 詳細情報について

  • CRID
    1390298975426831104
  • DOI
    10.20599/jjcic.8.21
  • ISSN
    24322342
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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