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Catheter‐based treatment with the Amplatzer® devices in alien positions
Author(s) -
Fischer Gunther,
Smevik Bjarne,
Novoa Juan Carlo Ramiro,
Suáres Francisco Javier Ozores,
Kramer Hans Heiner,
Bjørnstad Per G.
Publication year - 2009
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.21899
Subject(s) - medicine , catheter , surgery , anastomosis , pulmonary artery , complication , lesion , radiology
Abstract Objective: Case reports of patients with Amplatzer® devices used in positions they have not been designed for have repeatedly been published. Background: We pooled our results to review the array of such interventions. Methods: Retrospective study of twelve patients presented with eleven different problems: Two patients had hepatoatrial communication after Fontan's operation, two had different types of fistulae, two had surgical shunts, two had different anomalous systemic venous drainage, and two had an open arterial duct, one huge and hypertensive, the other with a very shallow ampulla. Finally, in one, a pulmonary artery was closed as a preparation for a bidirectional cavo‐pulmonary anastomosis. Results: All communications were completely closed. As only complication a lesion of the anonymous vein causing haematothorax was noted when trying to access through a Gore‐Tex® membrane after puncture. Conclusions: Such applications of Amplatzer devices in alien positions are estimated to be needed in 1 in 5–700 catheterizations. The results are good and the complications few. © 2009 Wiley‐Liss, Inc.