دورية أكاديمية
A novel double snare technique to retrieve embolized septal and left atrial appendage occluders.
| العنوان: | A novel double snare technique to retrieve embolized septal and left atrial appendage occluders. |
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| المؤلفون: | Ha KS; Department of Pediatrics, College of Medicine, Korea University, Seoul, Republic of Korea., Choi JY; Division of Pediatric Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea., Jung SY; Division of Pediatric Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea., Kim JS; Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea., Byun KH; Division of Cardiology, Good Morning General Hospital, Pyungtaek, Gyeonggi-do, Republic of Korea., Akagi T; Adult Congenital Heart Disease Center, Okayama University Hospital, Okayama, Japan., Zufarov MM; Department of Interventional Cardiology and Cardiac Arrhythmias, Republican Specialized Center of Surgery Named After V. Vakhidov, Tashkent, Republic of Uzbekistan. |
| المصدر: | Journal of interventional cardiology [J Interv Cardiol] 2018 Oct; Vol. 31 (5), pp. 685-692. Date of Electronic Publication: 2018 Apr 25. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 8907826 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8183 (Electronic) Linking ISSN: 08964327 NLM ISO Abbreviation: J Interv Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : Hoboken, N.J. : Mumbai : Wiley ; Hindawi Original Publication: [Mount Kisco, N.Y.] : Futura Pub. Co., [c1988- |
| مواضيع طبية MeSH: | Intraoperative Complications*/etiology , Intraoperative Complications*/surgery, Atrial Appendage/*surgery , Device Removal/*methods , Heart Septal Defects, Atrial/*surgery , Septal Occluder Device/*adverse effects, Adult ; Cardiac Catheterization/instrumentation ; Female ; Heart Atria/surgery ; Humans ; Japan ; Male ; Middle Aged ; Prosthesis Failure ; Republic of Korea ; Treatment Outcome ; Uzbekistan |
| مستخلص: | Background: Device embolization is the most frequent procedural complication during transcatheter closure of congenital cardiac defects. Retrieval of an embolized device may often be complicated by failure to introduce the right atrial (RA) disk hub into the sheath or difficulty in securely grasping the hub pin of RA disk. We aimed to evaluate the efficiency and success rate of device retrieval using a novel double snare technique. Methods: We reviewed retrieval procedures of embolized atrial septal defect (ASD) or left atrial appendage (LAA) occluder using double snare technique reported from five tertiary referral centers in Korea, Japan, and Uzbekistan. A total of 16 retrieval procedures in 15 patients were reported, including 14 patients who were planned for ASD device closure while 1 patient was planned for LA appendage occlusion. Results: Retrieved devices included 15 ASD occluders from six different manufacturers and one Amplantzer cardiac plug. Success rate of retrieval procedure was 100% using the double snare technique. There were no complications related to device retrieval. Most (15/16, 93.8%) of these devices could be retrieved through their original delivery sheaths. In six patients for whom retrieval was unsuccessful with conventional single snare technique and switched to double snare technique, the retrieval time was shortened significantly (P = 0.004*) by using the double snare technique. Conclusions: The double snare technique enables effective retrieval of various embolized devices. It abolishes the need of changing the sheath to a larger one in most patients. (© 2018 Wiley Periodicals, Inc.) |
| فهرسة مساهمة: | Keywords: device removal; double snare technique; embolization; septal defect |
| تواريخ الأحداث: | Date Created: 20180427 Date Completed: 20181126 Latest Revision: 20181126 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1111/joic.12513 |
| PMID: | 29696697 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1540-8183 |
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| DOI: | 10.1111/joic.12513 |