Premium
Delivery sheath tear after modification for ASD closure
Author(s) -
Hoyer Mark H.
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20767
Subject(s) - medicine , bevel , troubleshooting , closure (psychology) , surgery , cardiology , mechanical engineering , market economy , reliability engineering , economics , engineering
During transcatheter closure of an atrial septal defect with insufficient aortic rim, a standard delivery sheath was modified by cutting a bevel at the distal tip to improve device orientation. The sheath split longitudinally when attempting to recapture the closure device. Troubleshooting allowed a device to be implanted successfully. Pitfalls regarding our sheath modification and methods to overcome prolapse of the left atrial disk into the right atrium are discussed. © 2006 Wiley‐Liss, Inc.