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Fenestrated ASD device “angioplasty”: How to adjust a “pop‐off” mechanism when needed
Author(s) -
Tufaro Vincenzo,
Butera Gianfranco
Publication year - 2018
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.27788
Subject(s) - medicine , fenestration , angioplasty , cardiology , hemodynamics , surgery , diastole , blood pressure
We report on three cases of atrial septal defect (ASD) closure where a handmade fenestration had to be modified after device implantation. Two patients suffered from left ventricular diastolic dysfunction and one had severe pulmonary arterial hypertension. Amplatzer ASD occluder fenestration was created in all patients. Devices were implanted using an “over‐the‐wire” implantation technique. Due to a sub‐optimal hemodynamic result, fenestration was upsized by using a new technique.