Closure of external tunnel Fontan fenestration: a novel use of the Amplatzer vascular plug.

Pediatric Cardiology
Makram R EbeidCharles H Gaymes

Abstract

Newer modifications of the Fontan operation include the external tunnel conduit with placement of an elongated type of fenestration. Atrial septal defect closure devices used traditionally to close fenestrations have short connecting waists with retention discs on each side. These may not be suitable for this type of Fontan fenestration. The length of the fenestration may not allow proper expansion of the retention discs on these devices. The Amplatzer vascular plug, a new occlusion device without a centering waist or retention discs designed to close vascular malformation, can be placed entirely within an elongated tube or vessel. A retrospective review was used to study patients who underwent catheter closure of Fontan fenestration in our institution. Only patients whose procedure was performed after the commercial release of the Amplatzer vascular plug were included in the study. The vascular plug was implanted in 4 of 10 patients who underwent fenestration closure. The plug was successfully placed in all four patients without protrusion into either the systemic or pulmonary venous side of the baffle. There were no incidences of embolization, hemolysis, or infective endocarditis. All the patients experienced significant impr...Continue Reading

References

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Aug 27, 2005·International Journal of Cardiology·Soo-Jin KimWoong-Han Kim
Dec 8, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Makram R Ebeid

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Citations

Apr 2, 2014·Annals of Pediatric Cardiology·Parag BarwadSanjiv Sharma
Nov 12, 2013·Indian Heart Journal·Manoj Kumar RohitNaveen Krishna Kamana
Jun 17, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Matthew SchwartzMatthew J Gillespie
Dec 17, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·B A McCrossan, K P Walsh

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