Page 21 - Journal of Structural Heart Disease Volume 2, Issue 1

Original Research Report
Journal of Structural Heart Disease, February 2016, Volume 2, Issue 1: 15-32
DOI: http://dx.doi.org/10.12945/j.jshd.2016.007.14
Received: October 17, 2014 Accepted: January 15, 2015 Published online: February 2016
Atrial Septal Defect: Step-by-Step Catheter Closure
Shreepal A. Jain, MD1, Bharat V. Dalvi, MD2*
1 Department of Pediatric Cardiac Sciences, Sir H N Reliance Foundation Hospital, Mumbai, Maharashtra, India 2 Department of Cardiology, Glenmark Cardiac Center, Mumbai, Maharashtra, India
Abstract
Transcatheter device closure of ASD has come a long way since the rst experimental closure in dogs by Kings and Mills in 1972. However, unlike earlier de- vices, the current generation is easier to deploy and retrieve. The secret to a successful procedure includes meticulous planning and execution. It involves com- prehensive evaluation from the point of appropriate case selection, detailed pre- and intra-procedural im- aging, knowledge of various techniques of device de- ployment, and anticipating complications and ways to deal with them. In this paper, we describe the step-by- step procedure for transcatheter closure of an atrial septal defect using the Amplatzer Septal Occluder. Copyright © 2016 Science International Corp.
Key Words
Atrial Septal defect • Amplatzer Septal Occluder • Catheter closure • Balloon assisted technique • Pulmonary vein deployment technique
Slide Descriptions
Slide # 1:
Title slide
Slide # 10:
Click on the presentation above to view the presentation online. Please be aware that the presentation has many embedded videos so there is a long load time (90.4MB). You may download the le at http://dx.doi.org/10.12945/j. jshd.2016.007.14.ppt.01.
Slide # 11:
Chest radiogram ndings [4]:
1. Cardiomegaly due to right heart dilatation 2. Dilated main pulmonary artery
3. Pulmonary plethora
Slide # 13:
The device size is chosen based on the largest dimension recorded in any of the standard views (details in subsequent slides).
* Corresponding Author:
Bharat V. Dalvi, MD
Glenmark Cardiac Center
Department of Cardiology
First Floor, Flat No.101&102, Opp. Swami Samarth Math & Dhanwantari Hospital
D L Vaidya Road, Behind Shivsena Bhavan, Dadar (West), Mumbai, Maharashtra 400028 Tel. +91 98 21210188, Fax: +91 22 24335058, E-Mail: bharatdalvi@hotmail.com
Typical electrocardiogram ndings [4]:
1. Right axis deviation
2. Incomplete right bundle branch block (rsR’ in V1) 3. Right atrial and ventricular enlargement
Slideshow.
Fax +1 203 785 3346
E-Mail: jshd@scienceinternational.org http://structuralheartdisease.org/
© 2016 Journal of Structural Heart Disease Published by Science International Corp. ISSN 2326-4004
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