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A modified cook sheath for closure of a large secundum atrial septal defect
Author(s) -
Spies Christian,
Boosfeld Christoph,
Schräder Rainer
Publication year - 2007
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.21082
Subject(s) - septum secundum , medicine , closure (psychology) , bevel , heart septal defect , cardiology , surgery , mechanical engineering , market economy , economics , engineering
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.