M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Université de Paris, Paris, France.
Department of Radiology, University Hospitals Leuven, Leuven, Belgium.
Cardiol Young. 2020 Sep;30(9):1343-1345. doi: 10.1017/S1047951120001833. Epub 2020 Jul 8.
Percutaneous closure is the gold standard treatment for atrial septal defects, but the procedure can be complex in case of femoral thrombosis. Although unusual for congenital interventionists, transhepatic atrial septal defect closure is an attractive alternative to the internal jugular vein, especially when approaching the interatrial septum. Herein, we report the case of an adult patient with significant co-morbidities who had successful transhepatic atrial septal defect closure after a failed transjugular attempt. We describe the use of an absorbable haemostatic gelatin sponge to efficiently and safely achieve haemostasis after the use of a large vascular sheath with combined anticoagulation and antiplatelet therapy.
经皮封堵术是房间隔缺损的金标准治疗方法，但在股静脉血栓形成的情况下，该手术可能较为复杂。虽然对于先天性介入医生来说并不常见，但经肝房间隔缺损封堵术是颈内静脉入路的一种有吸引力的替代方法，尤其是在接近房间隔时。在此，我们报告了一例患有严重合并症的成年患者，在经颈静脉尝试失败后，成功地进行了经肝房间隔缺损封堵术。我们描述了使用可吸收止血明胶海绵在联合抗凝和抗血小板治疗下使用大血管鞘后高效且安全地止血的方法。
