Open AccessModified transjugular approach for percutaneous atrial septal defect closure
Author(s) -
Rishi A. Bhargava,
Ankur Phatarpekar,
Charan Lanjewar,
Prafulla Kerkar
Publication year - 2017
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_167_16
Subject(s) - medicine , percutaneous , closure (psychology) , inferior vena cava , surgery , cardiology , law , political science
Femoral venous route is routinely used for percutaneous closure of atrial septal defects (ASDs). However, a situation may arise where transfemoral approach is not feasible. We describe a successful transjugular closure of a moderate-sized ASD in a 49-year-old symptomatic man with interrupted inferior vena cava, using a novel deployment technique, which helped in overcoming difficulties such as maintaining stable sheath position and minimizing risk of air embolism.