A N Redington1, M L Rigby. 1. Department of Paediatric Cardiology, Royal Brompton Hospital, London.
Abstract
OBJECTIVE: To show the institutional experience of closure of interatrial communications with a modified umbrella device. DESIGN: Descriptive study of all patients in whom transcatheter umbrella closure of interatrial communications has been attempted. SETTING: A tertiary referral centre. PATIENTS: 16 patients with 17 interatrial communications of various types. INTERVENTIONS: Transcatheter placement of a modified Rashkind umbrella occluder. RESULTS: Two procedural failures due to venous access problems. Two placement failures needing early surgical repair. 13 successful placements in 12 patients. CONCLUSIONS: The modified Rashkind umbrella can successfully be used to close both iatrogenic and naturally occurring interatrial communications, particularly those present after the Fontan procedure.
OBJECTIVE: To show the institutional experience of closure of interatrial communications with a modified umbrella device. DESIGN: Descriptive study of all patients in whom transcatheter umbrella closure of interatrial communications has been attempted. SETTING: A tertiary referral centre. PATIENTS: 16 patients with 17 interatrial communications of various types. INTERVENTIONS: Transcatheter placement of a modified Rashkind umbrella occluder. RESULTS: Two procedural failures due to venous access problems. Two placement failures needing early surgical repair. 13 successful placements in 12 patients. CONCLUSIONS: The modified Rashkind umbrella can successfully be used to close both iatrogenic and naturally occurring interatrial communications, particularly those present after the Fontan procedure.
Authors: N D Bridges; S B Perry; J F Keane; S A Goldstein; V Mandell; J E Mayer; R A Jonas; A R Casteneda; J E Lock Journal: N Engl J Med Date: 1991-05-09 Impact factor: 91.245