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Transcatheter removal of atrial septal stent placed to decompress left atrium with VA ECMO
Author(s) -
Veeram Reddy Surendranath Reddy,
Guleserian Kristine J.,
Nugent Alan W.
Publication year - 2015
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.25817
Subject(s) - medicine , stent , extracorporeal membrane oxygenation , decompression , shunt (medical) , surgery , atrium (architecture) , atrial septum , left atrium , median sternotomy , cardiology , atrial fibrillation
Left atrial (LA) decompression in infants with thick atrial septum placed on veno‐arterial extracorporeal membrane oxygenation (ECMO) can be reliably achieved with transcatheter atrial septal (AS) stent placement. However, with myocardial recovery and ECMO decannulation the stent causes a permanent left to right shunt and surgical removal of the AS stent is usually accomplished. Transcatheter removal of AS stent is an attractive option as the advantages of LA decompression would then be coupled with the advantage of avoiding a sternotomy for surgical removal of the stent. To our knowledge, this is the first reported case of successful transcatheter retrieval of AS stent used for LA decompression in a 13‐month‐old child. © 2015 Wiley Periodicals, Inc.