Use of a new low profile Occlutech PLD device for closure of Fontan fenestrations
| Autor: | Nikolaus N. Haas, Hugues Dessy, Daniël De Wolf |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Total cavopulmonary connection General Medicine 030204 cardiovascular system & hematology medicine.disease Surgery Fontan circulation 03 medical and health sciences 0302 clinical medicine 030228 respiratory system medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Paravalvular leak Thrombus Cardiology and Cardiovascular Medicine Fenestration business |
| Zdroj: | Catheterization and Cardiovascular Interventions. 87:E243-E247 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.26271 |
| Popis: | For some higher risk patients, fenestrations are still created in total cavopulmonary connection conduits completing the Fontan circulation for univentricular hearts. If these fenestrations remain patent and hemodynamics are favorable, they are closed to improve oxygenation and exercise tolerance and to decrease the risk of paradoxical emboli. Depending on the type of fenestration, different devices are used. Unfortunately, the search for the ideal device is still ongoing. We propose the first experience with the off-label use of the new Occlutech paravalvular leak device. This device offers the combination of a small delivery sheath size, high flexibility, less material, and a low profile. The low profile in particular could be an advantage in order to reduce the risk of thrombus formation in the low velocity flow environment of the Fontan circulation. © 2015 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
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