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Cardiac Septal Defects: Treatment via the Amplatzer® Family of Devices

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Handbook of Cardiac Anatomy, Physiology, and Devices

Abstract

The majority of patients with congenital heart disease present with defects comprised of vascular narrowing or absence (such as interruption or coarctation of the aorta or pulmonary arteries) or failure of structures to fuse or separate during development (total anomalous pulmonary venous connection, septal defects, fusion of valve cusps). Correction of these defects began with open-heart surgery but, more recently, many such repairs can be performed transvenously using catheter-delivered closure devices (e.g., Amplatzer closure devices). This chapter will review a brief history of such repairs and provide information on the design and animal testing of such systems.

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References

  1. Lock JE, Niemi T, Einzig S, Amplatz K, Burke B, Bass JL. Transvenous angioplasty of experimental branch pulmonary artery stenosis in newborn lambs. Circulation 1981;64:886–93.

    Article  PubMed  CAS  Google Scholar 

  2. Lock JE, Castaneda-Zuniga WR, Bass JL, Foker JE, Amplatz K, Anderson RW. Balloon dilation of excised human coarctations. Radiology 1982;143:689–91.

    PubMed  CAS  Google Scholar 

  3. Porstmann W, Wierny L, Warnke H. Closure of ductus arteriosus persistens without thoracotomy. Fortsch Geb Rontgenstr Nuklearmed 1968;109:133–48.

    Article  CAS  Google Scholar 

  4. King TD, Mills NL. Nonoperative closure of atrial septal defects. Surgery 1974;75:383–88.

    PubMed  CAS  Google Scholar 

  5. Rashkind WJ. Transcatheter treatment of congenital heart disease. Circulation 1983;67:711–16.

    Article  PubMed  CAS  Google Scholar 

  6. Sharafuddin MJA, Gu X, Titus JL, Urness M, Cervera-Ceballos JJ, Amplatz K. Transvenous closure of secundum atrial septal defects. Preliminary results with a new self-expanding nitinol prosthesis in a swine model. Circulation 1997;95:2162–68.

    PubMed  CAS  Google Scholar 

  7. Kong H, Wilkinson JL, Coe JY, Gu X, Urness M, Kim TH, Bass JL. Corrosive behaviour of Amplatzer devices in experimental and biological environments. Cardiol Young 2002;12:260–65.

    Article  PubMed  Google Scholar 

  8. Neal WA, Moller JH, Varco RL, Anderson RC. Operative repair of atrial septal defect without cardiac catheterization. J Pediatr 1975;86:189–93.

    Article  PubMed  CAS  Google Scholar 

  9. Latson LA. Atrial septal defect. In: Moller JH, Hoffman JIE, eds. Pediatric cardiovascular medicine. New York, NY: Churchill Livingstone, 2000:311–21.

    Google Scholar 

  10. Lewis FJ, Varco RL, Taufic, M. Repair of atrial septal defects in man under direct vision with the aid of hypothermia. Surgery 1954;36:538–56.

    PubMed  CAS  Google Scholar 

  11. Rome JJ, Keane JF, Perry SB, Spevak PJ, Lock JE. Double-umbrella closure of atrial septal defects: Initial clinical applications. Circulation 1990;82:751–58.

    Article  PubMed  CAS  Google Scholar 

  12. Sideris EB, Sideris SE, Thanopoulos BD, Ehly RL, Fowlkes JP. Transvenous atrial septal defect occlusion by the buttoned device. Am J Cardiol 1990;66:1524–26.

    Article  PubMed  CAS  Google Scholar 

  13. Hausdorf G, Schneider M, Granzbach B, Kampmann C, Kargus K, Goeldner B. Transcatheter closure of secundum atrial septal defects with the atrial septal defect occlusion system: Initial experience in children. Heart 1996;75:83–88.

    Article  PubMed  CAS  Google Scholar 

  14. Das GS, Voss G, Jarvis G, Wyche K, Gunther R, Wilson RF. Experimental atrial septal defect closure with a new, transcatheter, self-centering device. Circulation 1993;88:1754–64.

    PubMed  CAS  Google Scholar 

  15. Agarwal SK, Ghosh PK, Mittal PK. Failure of devices used for closure of atrial septal defects: mechanisms and management. J Thorac Cardiovasc Surg 1996;112:21–26.

    Article  PubMed  CAS  Google Scholar 

  16. Du Z-D, Hijazi ZM, Kleinman CS, Silverman NH, Larntz L. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults. J Am Coll Cardiol 2002;39:1836–44.

    Article  PubMed  Google Scholar 

  17. Amin Z, Hijazi ZM, Bass JL, Cheatham JP, Hellenbrand WE, Kleinman CS. Erosion of Amplatzer septal occluders after closure of secundum atrial septal defects: Review of registry of complications and recommendations to minimize future risk. Catheter Cardiovasc Interv 2004;63:496–502.

    Article  PubMed  Google Scholar 

  18. Gersony WM, Apfel HD. Patent ductus arteriosus and other aortopulmonary anomalies. In: Moller JH, Hoffman JIE, eds. Pediatric cardiovascular medicine. New York, NY: Churchill Livingstone, 2000:323–30.

    Google Scholar 

  19. Kirklin JW, Barratt-Boyes BG. Patent ductus arteriosus. In: Kirklin JW, Barratt-Boyes BG, eds. Cardiac surgery, 2nd ed. New York, NY: Churchill Livingstone, 1993:854.

    Google Scholar 

  20. Nykanen DG, Hayes AM, Benson LN, Freedom RM. Transcatheter patent ductus arteriosus occlusion: Application in the small child. J Am Coll Cardiol 1994;23:1666–70.

    Article  PubMed  CAS  Google Scholar 

  21. Pass RH, Hijazi Z, Hsu DT, Lewis V, Hellenbrand WE. Multicenter USA Amplatzer patent ductus arteriosus occlusion device trial: Initial and one-year results. J Am Coll Cardiol 2004;44:513–19.

    Article  PubMed  Google Scholar 

  22. Sharafuddin MJA, Gu X, Titus JL, et al. Experimental evaluation of a new self-expanding patent ductus arteriosus occluder in a canine model. J Vasc Intervent Radiol 1996;7:877–87.

    Article  CAS  Google Scholar 

  23. Masura J, Walsh KP, Thanopoulous B, Chan C, Bass J, Goussous Y, Gavora P, Hijazi ZM. Catheter closure of moderate- to large-sized patent ductus arteriosus using the new Amplatzer duct occluder: Immediate and short-term results. JACC 1998;31:878–82.

    PubMed  CAS  Google Scholar 

  24. Kong H, Gu X, Bass JL, Titus J, Urness M, Kim T-H, Hunter DW. Experimental evaluation of a modified Amplatzer duct occluder. Catheter Cardiovasc Interv 2001;53:571–76.

    Article  PubMed  CAS  Google Scholar 

  25. Ewert P. Challenges encountered during closure of patent ductus arteriosus. Pediatr Cardiol 2005;26:224–29.

    Article  PubMed  CAS  Google Scholar 

  26. Kirklin JK, Castaneda AR, Keane JF, Fellows KE, Norwood WI. Surgical management of multiple ventricular septal defects. J Thorac Cardiovasc Surg 1980;80:485–93.

    PubMed  CAS  Google Scholar 

  27. Lock JE, Block PC, Mckay RG, Baim DS, Keane JF. Transcatheter closure of ventricular septal defects. Circulation 1988;78:361–68.

    Article  PubMed  CAS  Google Scholar 

  28. Amin Z, Gu X, Berry JM, et al. New device for closure of muscular ventricular septal defects in a canine model. Circulation 1999;100:320–28.

    PubMed  CAS  Google Scholar 

  29. Bass JL, Kalra GS, Arora R, et al. Initial human experience with the Amplatzer Perimembranous ventricular septal occluder device. Catheter Cardiovasc Interv 2003;58:238–45.

    Article  PubMed  Google Scholar 

  30. Berry JM, Krabill KA, Pyles LA, Lohr J, Steinberger J, Bass JL. Muscular ventricular septal defect geometry and Amplatzer device closure: A new en face view. Circulation 1999;100:18(I):I–30 (Abstract).

    Google Scholar 

  31. Rigby ML, Redington AN. Primary transcatheter closure of perimembranous ventricular septal defect. Br Heart J 1994;72:368–71.

    Article  PubMed  CAS  Google Scholar 

  32. Gu X, Han Y-M, Titus JL, et al. Transcatheter closure of membranous ventricular septal defects with a new nitinol prosthesis in a natural swine model. Catheter Cardiovasc Interv 2000;50:502–09.

    Article  PubMed  CAS  Google Scholar 

  33. Ho SY, Thompson RP, Gibbs SR, Swindle MM, Anderson RH. Ventricular septal defects in a family of Yucatan miniature pigs. Int J Cardiol 1991;33:419–25.

    Article  PubMed  CAS  Google Scholar 

  34. Mackey-Bojack S, Urness M, Titus J, Bass J. HIS bundle pathology after insertion of the Amplatzer® perimembranous ventricular septal defect occluder in an animal model. Circulation 2005;112(17):II-547 (Abstract 2600).

    Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Cardiology, University of Minnesota, MMC 94, 420 Delaware St. SE, Minneapolis, MN 55455, USA

    John L. Bass & Daniel H. Gruenstein

Authors
  1. John L. Bass
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  2. Daniel H. Gruenstein
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Corresponding author

Correspondence to John L. Bass .

Editor information

Editors and Affiliations

  1. Dept. Surgery, University of Minnesota, Delaware St. SE., 420, Minneapolis, 55455, U.S.A.

    Paul A. Iaizzo

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Bass, J.L., Gruenstein, D.H. (2009). Cardiac Septal Defects: Treatment via the Amplatzer® Family of Devices. In: Iaizzo, P. (eds) Handbook of Cardiac Anatomy, Physiology, and Devices. Humana Press. https://doi.org/10.1007/978-1-60327-372-5_34

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  • DOI: https://doi.org/10.1007/978-1-60327-372-5_34

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-371-8

  • Online ISBN: 978-1-60327-372-5

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