A modified cook sheath for closure of a large secundum atrial septal defect

Transcatheter closure of large secundum atrial septal defects with deficient rims is difficult. Several techniques have been described to improve delivery of the occluder in anatomically challenging cases. Among these is a recently described technique using a modified delivery sheath with the creati...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2007-08, Vol.70 (2), p.286-289
Main Authors: Spies, Christian, Boosfeld, Christoph, Schräder, Rainer
Format: Article
Language:English
Subjects:
Adult
adult congenital heart disease
amplatzer septal occluder
Balloon Occlusion - instrumentation
Cardiac Catheterization
Echocardiography, Transesophageal
Equipment Design
Fluoroscopy
Heart Septal Defects, Atrial - diagnostic imaging
Heart Septal Defects, Atrial - therapy
Humans
Male
Treatment Outcome
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Summary:Transcatheter closure of large secundum atrial septal defects with deficient rims is difficult. Several techniques have been described to improve delivery of the occluder in anatomically challenging cases. Among these is a recently described technique using a modified delivery sheath with the creation of a bevel. However, the initial case report was complicated by malfunction and longitudinal splitting of the sheath. We describe the successful use of a modified delivery sheath for closure of a large atrial septal defect with a deficient rim. © 2007 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.21082