Guryev Valentin V, Zverev Dmitriy A, Khilchuk Anton A, Shcherbak Sergey G
Department of Interventional Radiology, City Hospital №40, 197706, Borisova str. 9, Sestroretsk, Saint-Petersburg, Russian Federation.
Department of Interventional Cardiology, Almazov National Medical Research Centre, Saint-Petersburg, Russian Federation.
Radiol Case Rep. 2020 Jun 12;15(8):1221-1224. doi: 10.1016/j.radcr.2020.05.042. eCollection 2020 Aug.
We present a case of secondary atrial septal defect transcatheter correction attempt in a 72 years old male, complicated by the device migration. The occluder was captured, pulled down to the common femoral artery and retrieved through the arteriotomy site. Second attempt was successfully performed using combination of transesophageal echo (TEE) and sizing balloon to accurately measure the defect diameter. This case underscores the importance of TEE ultrasound, sizing balloon, and contrast fluoroscopy combination to achieve accurate device sizing. Our calculation approach significantly increased the success rate of the septal defect closure procedure and potentially reduced the risk of immediate and mid-term complications. Combination of measuring methods should be used in order to accurately assess the device diameter.
我们报告了一例72岁男性经导管矫正继发性房间隔缺损的尝试，该病例并发封堵器移位。封堵器被捕获，下拉至股总动脉，并通过动脉切开部位取出。第二次尝试成功进行，采用经食管超声心动图（TEE）和测量球囊相结合的方法准确测量缺损直径。该病例强调了TEE超声、测量球囊和造影透视相结合对于准确确定封堵器尺寸的重要性。我们的计算方法显著提高了房间隔缺损封堵术的成功率，并可能降低近期和中期并发症的风险。应采用多种测量方法相结合以准确评估封堵器直径。
