Modified wire atrial septostomy with a reverse transseptal puncture in an infant: Case report.
microwire
pulmonary atresia with intact ventricular septum
radiofrequency wire
reverse transseptal puncture
wire atrial septostomy
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
01 04 2021
01 04 2021
Historique:
revised:
30
11
2020
received:
19
10
2020
accepted:
14
12
2020
pubmed:
5
2
2021
medline:
25
9
2021
entrez:
4
2
2021
Statut:
ppublish
Résumé
We report a modified technique of wire atrial septostomy (WAS) with a reverse transseptal puncture (TSP) in an infant case of pulmonary atresia with intact ventricular septum. A radiofrequency (RF) wire was advanced to the septum through a 4 Fr pigtail catheter hooked on the left side of atrial septum and RF energy was applied while advancing the wire across the septum. Following that reverse TSP, WAS was performed to cut the septal tissue using a 0.010 microwire and RF wire. The atrial septum defect (ASD) was enlarged to a size of 15 mm. WAS with a reverse TSP could be a useful and safe method to enlarge ASD in infants with congenital heart diseases.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
865-868Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Rashkind WJ, Miller W. Creation of an atrial septal defect without thoracotomy: a palliative approach to complete transposition of the great arteries. JAMA. 1966;196(11):991-992.
Thanopoulos BD, Georgakopoulos D, Tsaousis GS, Simeunovic S. Percutaneous balloon dilatation of the atrial septum: immediate and midterm results. Heart. 1996;76(6):502-506.
Kitano M, Tsukada M, Fujino M. Wire atrial septostomy: a new technique to create a large defect in a thickened atrial septum. World J Pediatr Congenit Heart Surg. 2020;11(4):NP18-NP21.
Park SC, Neches WH, Mullins CE, et al. Blade atrial septostomy: collaborative study. Circulation. 1982;66(2):258-266.
Danon S, Levi DS, Alejos JC, Moore JW. Reliable atrial septostomy by stenting of the atrial septum. Catheter Cardiovasc Interv. 2005;66(3):408-413.
Pedra CA, Neves JR, Pedra SR, et al. New transcatheter techniques for creation or enlargement of atrial septal defects in infants with complex congenital heart disease. Catheter Cardiovasc Interv. 2007;70(5):731-739.
Jaffar M, Khan DD, Greenbaum AB, et al. Transcatheter laceration of aortic leaflets to prevent coronary obstruction during transcatheter aortic valve replacement: concept to first-in-human. JACC Cardiovasc Interv. 2018;11(7):677-689.