Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-13T00:52:52.693Z Has data issue: false hasContentIssue false
  • English
  • Français

Creation with a stent of an unrestrictive lasting atrial communication

Published online by Cambridge University Press:  30 July 2009

Marc Gewillig ,
Derize Boshoff  and
Luc Mertens
Marc Gewillig*
Affiliation:
University Hospitals Leuven, Leuven, Belgium
Derize Boshoff
Affiliation:
University Hospitals Leuven, Leuven, Belgium
Luc Mertens
Affiliation:
University Hospitals Leuven, Leuven, Belgium
*
Marc Gewillig, Paediatric Cardiology, University Hospitals Leuven, B-3000 Leuven, Belgium. Tel: +32 16 343865; Fax: +32 16 343981; E-mail: marc.gewillig@uz.kuleuven.aG.be
Get access Rights & Permissions [Opens in a new window]

Abstract

A new technique is presented to create percutaneously an unrestrictive and lasting atrial communication in small children. In 2 infants, a stent was deployed in a restrictive atrial communication and first inflated with an 8 mm balloon. The stent was then further expanded up to 10 or 12 mm. The gradient and turbulent flow between the two atriums disappeared completely. The stent retained a very stable position without embolisation. Other complications, such as formation of thrombus or arrhythmia, were not observed until elective explantation after 2 and 11 months. We conclude that, in infants, dilation of the atrial septum with a stent can provide a safe, lasting, and unrestrictive atrial communication.

Keywords

Percutaneous interventionstentatrial septal defect
Type
Brief Reports
Information
Cardiology in the Young , Volume 12 , Issue 4 , July 2002 , pp. 404 - 407
Copyright
Copyright © Cambridge University Press 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Mitchell, SE, Anderson, JH, Swindle, MM, Strandberg, JD, Kan, J.Atrial septostomy: stationary angioplasty balloon technique — experimental work and preliminary clinical applications. Pediatr Cardiol 1994; 15: 1–7.CrossRefGoogle ScholarPubMed
2.Rao, PS.Static balloon dilatation of the atrial septum. Pediatr Cardiol 1996; 17: 349–350.CrossRefGoogle ScholarPubMed
3.Lang, P. Other catheterisation laboratory techniques and interventions: ASD creation, transseptal pericardial drainage, foreign body retrieval, exercise and drug testing. In: Lock, J, Keane, J, Perry, S (eds). Diagnostic and interventional catheterisation in congenital heart disease, 2nd edition. Kluwer Ac Pub, 2000: pp 245–268.CrossRefGoogle Scholar
4.Gewillig, M, Mertens, L, Stockx, L.Percutaneous fenestration of the atrial septum with a stent: an experimental study. Cor Europaneum 1995; 4: 122–125.Google Scholar
5.Pedra, CA, Pihkala, J, Benson, LN, Freedom, RM, Nykanen, D.Stent implantation to create interatrial communications in patients with complex congenital heart disease. Cathe Cardiovasc Interv 1999; 47: 310–313.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
6.Stümper, O, Vettukattil, J, Chessa, M, Chaudhari, M, Nagel, B, Wright, JGC.Modified technique of stenting the atrial septum after Fontan operation. Cardiol Young 2001; 11 (Suppl 1): 70.Google Scholar
7.Miga, DE, Clark, JM, Cowart, KS, Radtke, WA.Transcatheter fenestration of hemi-Fontan baffles after completion of Fontan physiology using balloon dilatation and stent placement. Cathet Cardiovasc Diagn 1998; 43: 429–432.3.0.CO;2-E>CrossRefGoogle ScholarPubMed