Diverse experience with the CardioSEAL®and STARFlex®septal occluders
| Autor: | Cleo Laskari, Spyridon Rammos, John Papagiannis, Maria Kiaffas, Sotiria C. Apostolopoulou |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Cardiac Catheterization medicine.medical_specialty Leak Adolescent Arterial duct Radiography Interventional Risk Assessment Heart Septal Defects Atrial Atrial septal defects Cohort Studies Occlusion medicine Humans Septal Occluder cardiovascular diseases Child Pulmonary arteriovenous malformation Retrospective Studies Equipment Safety business.industry Prostheses and Implants General Medicine Balloon Occlusion Right pulmonary artery Surgery Catheter Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Cardiology in the Young. 14:367-372 |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951104004032 |
| Popis: | Apart from closure of atrial septal defects, there is little information concerning the use of the CardioSEAL family of occluders in congenitally malformed hearts. We review here our initial experience using the CardioSEAL and STARFlex occluders in 12 patients aged 17.3 ± 11.2 years, with a range from 4 to 34 years. Of the patients, 5 had fenestrated extracardiac Fontan procedures, 5 had persistent patency of the arterial duct, 1 had a leak across a Mustard baffle, and the final patient had a huge pulmonary arteriovenous malformation. We implanted successfully 9 CardioSEAL, and 3 STARFlex occluders, with sizes from 17 to 40 mm. In one patient, the occluder embolized to the right pulmonary artery, from where it was retrieved through the catheter. In two patients, there was a trivial residual leak immediately after implantation, but no patient had a residual leak after 6 months of follow-up. We noted improved ventricular dimensions, without any fractures of the arms of the occluders, perforations, or disturbances of flow after 2.4 ± 0.9 years of follow-up. We have demonstrated, therefore, the versatility of the CardioSEAL and STARFlex occluders, which have been used safely and effectively to close a variety of intra and extracardiac communications other than atrial septal defects. |
| Databáze: | OpenAIRE |
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