Abstract
Secundum atrial septum defect (ASD) is the most common congenital heart disease. It is usually treated by a transcatheter approach using a femoral venous access. In case of bilateral femoral vein occlusion, the internal jugular venous approach for ASD closure is an option, in particular in cases where ASD balloon occlusion test and sizing is needed. Here, we report on a new technique for ASD closure using a venous-arterial circuit from the right internal jugular vein to the femoral artery. Two patients (females, 4 and 10 years of age) had occlusion of both femoral veins because of a previous history of pulmonary atresia and intact ventricular septum, for which they underwent percutaneous radiofrequency perforation and balloon angioplasty. These subjects needed balloon occlusion test of a residual ASD to size the hole and to check for hemodynamic suitability to ASD closure. After performing a venous-arterial circuit, a 24 mm St Jude ASD sizing balloon catheter was advanced over the circuit and the defect closed for 15 min to check hemodynamics and size the defect. ASD was closed is hemodinamically suitable. This technique was safe and reliable.
| Original language | English |
|---|---|
| Journal | Catheterization and Cardiovascular Interventions |
| DOIs | |
| Publication status | Accepted/In press - 2016 |
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Keywords
- Atrial septal defect
- Closure
- Pulmonary atresia and intact ventricular septum
- Transcatheter
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
Cite this
How to deal with atrial septal defect closure from right internal jugular vein : Role of venous-arterial circuit for sizing and over-the-wire device implantation. / Butera, Gianfranco; Lovin, Nicusor; Basile, Domenica Paola.
In: Catheterization and Cardiovascular Interventions, 2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - How to deal with atrial septal defect closure from right internal jugular vein
T2 - Role of venous-arterial circuit for sizing and over-the-wire device implantation
AU - Butera, Gianfranco
AU - Lovin, Nicusor
AU - Basile, Domenica Paola
PY - 2016
Y1 - 2016
N2 - Secundum atrial septum defect (ASD) is the most common congenital heart disease. It is usually treated by a transcatheter approach using a femoral venous access. In case of bilateral femoral vein occlusion, the internal jugular venous approach for ASD closure is an option, in particular in cases where ASD balloon occlusion test and sizing is needed. Here, we report on a new technique for ASD closure using a venous-arterial circuit from the right internal jugular vein to the femoral artery. Two patients (females, 4 and 10 years of age) had occlusion of both femoral veins because of a previous history of pulmonary atresia and intact ventricular septum, for which they underwent percutaneous radiofrequency perforation and balloon angioplasty. These subjects needed balloon occlusion test of a residual ASD to size the hole and to check for hemodynamic suitability to ASD closure. After performing a venous-arterial circuit, a 24 mm St Jude ASD sizing balloon catheter was advanced over the circuit and the defect closed for 15 min to check hemodynamics and size the defect. ASD was closed is hemodinamically suitable. This technique was safe and reliable.
AB - Secundum atrial septum defect (ASD) is the most common congenital heart disease. It is usually treated by a transcatheter approach using a femoral venous access. In case of bilateral femoral vein occlusion, the internal jugular venous approach for ASD closure is an option, in particular in cases where ASD balloon occlusion test and sizing is needed. Here, we report on a new technique for ASD closure using a venous-arterial circuit from the right internal jugular vein to the femoral artery. Two patients (females, 4 and 10 years of age) had occlusion of both femoral veins because of a previous history of pulmonary atresia and intact ventricular septum, for which they underwent percutaneous radiofrequency perforation and balloon angioplasty. These subjects needed balloon occlusion test of a residual ASD to size the hole and to check for hemodynamic suitability to ASD closure. After performing a venous-arterial circuit, a 24 mm St Jude ASD sizing balloon catheter was advanced over the circuit and the defect closed for 15 min to check hemodynamics and size the defect. ASD was closed is hemodinamically suitable. This technique was safe and reliable.
KW - Atrial septal defect
KW - Closure
KW - Pulmonary atresia and intact ventricular septum
KW - Transcatheter
UR - http://www.scopus.com/inward/record.url?scp=84992688641&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84992688641&partnerID=8YFLogxK
U2 - 10.1002/ccd.26621
DO - 10.1002/ccd.26621
M3 - Article
AN - SCOPUS:84992688641
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
SN - 1522-1946
ER -