Closure of left ventricle perforation with the use of muscular VSD occluder

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Serval ID
serval:BIB_C57147A67940
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Closure of left ventricle perforation with the use of muscular VSD occluder
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
Pawelec-Wojtalik  M., von Segesser  L. K., Liang  M., Bukowska  D.
ISSN
1010-7940
Publication state
Published
Issued date
04/2005
Peer-reviewed
Oui
Volume
27
Number
4
Pages
714-6
Notes
Evaluation Studies
Journal Article --- Old month value: Apr
Abstract
Growing experience in interventional cardiology leads to the use of large diameter of vascular equipment. In some instances, the so-called hybrid procedures are performed. After performing the interventional procedure, the opening in ventricular wall is closed surgically. Our intention was to check if the MVSDO can be used to close the perforation in the heart after the interventional cardiology procedure performed through the left ventricular (LV) free wall. In three pigs under general anesthesia, the heart was exposed through a small substernal incision. The LV was punctured and an 18F sheath was introduced into the LV. A 14 mm MVSDO was inserted through the 10F Delivery System. Using both the echocardiographic and angiographic guidance, the MVSDO was placed on the LV wall to close the opening in the LV. Time and volume of bleeding was recorded. In all cases the occluder was successfully placed closing the opening, bleeding observed after deployment of occluder lasted for approximately 2 min. We think MVSD occluder can be used to close the LV free wall perforation after hybrid interventional cardiac procedure. Early bleeding through MVSDO might be resolved by the manufacturing of new occluder with better sealing properties.
Keywords
Animals Cardiac Surgical Procedures/*methods Female Heart Ventricles/surgery/ultrasonography Male *Prostheses and Implants Prosthesis Implantation/*methods Punctures Swine
Pubmed
Web of science
Open Access
Yes
Create date
14/02/2008 15:16
Last modification date
25/09/2019 7:10
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