Transcatheter Closure of ASDs and PFOs : A Comprehensive Assessment

Name: Transcatheter Closure of ASDs and PFOs : A Comprehensive Assessment | A Comprehensive Assessment
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A Comprehensive Assessment

Ziyad M. Hijazi Ted Feldman Mustafa H. Abdullah Al-Qbandi(Herausgeber*in)

Cardiotext Publishing

1. Auflage

Erschienen am 1. Juli 2010

480 Seiten

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Inhalt

Cover
Title Page
Copyright Page
Contents
About the Contributors
Foreword by Charles E. Mullins
Preface
Acknowledgments
Part I: Anatomy, Pathophysiology, and Natural History
1. Anatomy of the Atrial Septum - Akash R. Patel, Lisa C. A. D'Alessandro, and Paul M. Weinberg
Normal Atrial Septal Embryology and Anatomy
Patent Foramen Ovale
Ostium Secundum ASD
Deviation of Septum Primum
Interatrial Communications Not Amenable to Device Closure
References
2. Natural and Unnatural History of a Secundum ASD - Gregory A. Fleming, Thomas Doyle, and Thomas P. Graham Jr.
Introduction
Natural Historyof an Atrial Septal Defect Diagnosed in Childhood
Natural History of an Unrepaired ASD
References
3. ASDs: Clinical Perspectives - Wail Alkashkari and Ziyad M. Hijazi
Atrial Septal Defect
Conclusion
References
4. Historical Perspectives on ASD Device Closure - Terry Dean King and Noel L. Mills
Introduction
Historical Surgical Background
King-Mills Cardiac Umbrella-Personal Commentary
Subsequent Devices and Pioneers
Returning to the Double Umbrella Approach
The "Buttoned" Double-Disk Device and the Center-on-Demand Device
Metals with Memory-A Technological Leap
Atrial Septal Defect Occluder System (ASDOS)
Angel Wing/Guardian Angel Device
Monodisk
AMPLATZER Septal Occluder
CardioSEAL/STARFlex
BioSTAR/BioTREK
HELEX Septal Occluder
Detachable Balloon Device
Transcatheter Patch
Other Devices
Summary
Acknowledgments
References
5. PFO Closure for Prevention of Recurrent Stroke and TIA - Ted Feldman
Introduction
PFO and Cryptogenic Stroke
PFO and Increased Mortality
Limitations of Medical Therapy
Evidence for Reduced Risk of Recurrent Strokeafter PFO Closure
References
6. PFO Closure and Migraines - Jonathan Tobis and Swarnendra Verma
Introduction
Generation of the Hypothesis
The MIST Trial
Current Clinical Trials
What Is a Migraine?
Association of PFO, Migraine, and Cryptogenic Stroke
Migraine and Cerebral White Matter Lesions
Is It the PFO or Will Any Right-to-Left Shunt Suffice?
Exacerbation of Migraine Headache Following PFO or ASD Closure
Sensitivity of Testing for Patent Foramen Ovale
The Genetics of Migraine and PFO
The Influence of Estrogenon Migraine Headaches
PFO, Migraine, and Arterial Spasm
An Unusual Case of PFO,Migraine, and Myocardial Infarction
Migraine and Increased Cardiovascular Mortality
Is There a Specific PFO-Associated Type of Migraine Headache?
The Controversy Continues
References
Part II: Imaging and Assessment
7. Imaging to Guide ASD and PFO Closure: TTE and TEE - Sinai C. Zyblewski and Girish S. Shirali
Introduction
The Precatheterization Assessment
Transcatheter Device Closure with Two-Dimensional TEE Guidance
Transcatheter Closure with Three-Dimensional Echocardiography Guidance
References
8. Imaging to Guide ASD and PFO Closure: Intracardiac Echocardiography - Mustafa H. Abdullah Al-Qbandi, Qi-Ling Cao, and Ziyad M. Hijazi
Introduction
Imaging Protocol for ASD/PFO Device Closure
References
9. CT Evaluation of the Interatrial Septum in ASDs - Robert A. Quaife and John D. Carroll
Introduction
Atrial Embryology and Anatomy by Cardiac CT
Cardiac CT Methodology
Analysis of CT Images
CTA to Plan Catheter-Based Defect Closure
Use of CTA to Assess Device-Related Issues Postimplantation
Use of CTA During Procedures: Coregistration with Fluoroscopy
Advanced Image Processing of CTA Images and Presentation as Physical Models
Conclusions
Acknowledgments
References
10. Cardiac Magnetic Resonance Assessment of ASDs and PFOs: Relation to Device Closure, Pre and Post - Mark A. Fogel
Introduction
Advantages/Disadvantages of CMR as It Relates to the Atrial Septum
Protocol and Techniques Utilized to Evaluate the Atrial Septum, ASDs, and Associated Anomalies
CMR of Specific Atrial Septal Defects
An Example of the CMR of a Lesion with an Atrial Septal Defect
Catheter Intervention on the Atrial Septumin the Catheterization Laboratory
Intervention in the CMR Suite
Conclusion
References
Part III: Procedure Techniques
11. Establishing a Program in Structural Heart Disease Interventional Therapies - Ted Feldman and Ziyad M. Hijazi
Knowledge Base
Training
Equipment
The Interventional Team
Conclusion
References
12. How to Close Simple ASDs - Matthew Egan and Ralf J. Holzer
Introduction
Simple versus Complex ASD Morphology
General (Pre) Procedural Considerations
Hemodynamic and Angiographic Evaluation
Echocardiography and Balloon Sizing
Choosing the Appropriate Device
Closure Technique
Postprocedural Careand Results
Summary
References
13. Device Closure of Difficult ASDs - Mustafa H. Abdullah Al-Qbandi and Ziyad M. Hijazi
Introduction
Atrial Septal Rims
Device Closure of ASD
Atrial Septal Aneurysm
Techniques Used to Close ASDs with Deficient Rims When Attempting AMPLATZER Occluder System
Pulmonary Vein Approach
Roof of Left Atrium
Hausdorf Sheath Technique
Boosfeld-Spies Technique
Use of a Straight Side-Hole Delivery Sheath(SSH Technique or Kutty's Method)
Wahab Technique
Right Judkins Guide Catheter Technique
Balloon-Assisted Technique
Nounou Technique Using the Agilis Catheter
The Parallel Wire Technique for Septal Defect Closure
Summary
References
14. Device Closure of ASDs in Small Children - Mustafa H. Abdullah Al-Qbandi and Ziyad M. Hijazi
Introduction
Indications and Mode of Intervention
Transcatheter Approach
Summary
References
15. Device Closure of ASDs and PFOs in the Elderly: Hemodynamic Assessment - Mehmet Cilingiroglu and Ted Feldman
Atrial Septal Defects
Patent Foramen Ovale
References
16. Closure of ASDs with Pulmonary Hypertension: Assessing Operability - Sara M. Trucco and William E. Hellenbrand
Introduction
Pulmonary Arterial Hypertension Associated with Congenital Heart Disease
Evaluation of Operability
Treatment Strategies for Patients with Severely Elevated Pulmonary Vascular Resistance
Conclusion
References
17. Device Closure of ASDs in Patients with R-L Shunt - Anas Salkini and John W. Moore
Introduction
Pathophysiology
Anatomical Considerations
Conditions with Right-to-Left Interatrial Shunting
Technique of Device Closure
Literature Review
Case Examples
Conclusion
References
18. Device Closure of Fenestrations Post Fontan Operation - Mustafa H. Abdullah Al-Qbandi and Ziyad M. Hijazi
Introduction
Device Implantation Technique
Post Fenestration Closure
References
19. Unusual Vascular Access to Close ASDs and PFOs - Larry A. Latson
Introduction
Primary Indications for Alternative Vascular Access
Approaches from the Upper Body Veins
Transhepatic Route
Summary
References
20. Transcatheter ASD Closure without Fluoroscopy - Peter Ewert and Felix Berger
Introduction
Methods
Results
Discussion
Conclusion
References
21. New Minimally Invasive Techniques for Surgical Closure of ASDs and PFOs - Nikolay V. Vasilyev and Pedro J. del Nido
Introduction
Current Approaches for Open-Heart Closure
Robotically Assisted Techniques
Image-Guided and Hybrid Surgical Open-Chest ASD Closure
Role of New Imaging Modalities
Novel Instruments and Devices
Motion Compensation
Summary
References
22. Complications of Device Closure of ASDs and PFOs - Zahid Amin
Introduction
The Devices
Complications
AMPLATZER Atrial Septal Occluder Device
Patent Foramen Ovale
Complications of PFO Closure
Summary
References
23. Nightmare Cases in the Cardiac Catheterization Laboratory during Percutaneous Closure of ASDs - Mustafa H. Abdullah Al-Qbandi, Tarek S. Momenah, and Ziyad M. Hijazi
Introduction
Case 1
Case 2
Case 3
Discussion
Conclusions
References
24. My Worst Nightmare Cases of PFO Closure - Tina Lehr, Sonya Joy, Kristina Renkhoff, Nina Wunderlich, and Horst Sievert
Introduction
Case 1
Case 2
Case 3
Discussion and Conclusion
Part IV: Devices
25. Engineering Aspects of Metallic and Bioabsorbable Devices - Carol A. Devellian, Stephanie M. Kladakis, Steven W. Opolski, and John A. Wright Jr.
Introduction
Background
General Design Considerations
Design Goals for the Ideal Septal Occluder
Traditional Approach: Permanent Metal Frames
Future Approach: Bioabsorbable Frames
Tissue Scaffolds
Preclinical Testing
The Future
References
26. The AMPLATZER Devices for ASDs and PFOs - Trong-Phi Lê and Horst Sievert
The AMPLATZER Septal Occluder
The AMPLATZER PFO Occluder
27. The GORE HELEX Septal Occluder - Ted Feldman
Introduction
Materials
Healing Response
Trial Results
ASD Evaluation
Device Preparation
Device Delivery
Device Release
Removing a Deployed Occluder with the Retrieval Cord
Postprocedure Management
Predictors of Success
Late Assessment
Wire Frame Fracture
Device Comparison
PFO Closure
Future Developments
Acknowledgment
References
28. The Occlutech Flex Devices for ASD and PFO Closure - Nicolas Majunke, Nina Wunderlich, and Horst Sievert
Introduction
Delivery System
PFO and ASD Devices
29. Transcatheter Patch Device - Basilios E. Sideris, John D. Coulson, and Eleftherios B. Sideris
Introduction
Methods
Results
Discussion
References
30. The CardioSEAL/STARFlex Family of Devices for Closure of Atrial-Level Defects - Paul Kramer
Introduction
The Clamshell Family of Devices
Technique of Defect Closure
Troubleshooting and Avoiding Complications
Summary
Acknowledgments
References
31. Bioabsorbable Devices: The BioSTAR and BioTREK for ASDs and PFOs - Ryan Ko and Michael J. Mullen
Introduction
BioSTAR
Implant Technique
Retrieval of the BioSTAR
Preclinical Data
Clinical Data
BioTREK
Conclusion
References
32. Cardia Devices - Daniel R. Turner and Thomas J. Forbes
Introduction
Device Description
Device Loading and Retrieval
Animal Data
Device Selection
Procedural/Technical Considerations
Clinical Results
Conclusions
References
33. The Solysafe Septal Occluder for the Closure of ASDs and PFOs - Peter Ewert
Introduction
Patient and Device Selection
Implantation
Results
Discussion
Conclusion
References
34. The pfm Device for ASD Closure - Miguel Granja and Franz Freudenthal
Introduction
Device Features
Preparation
Implantation
Detachment Procedure
35. The Coherex FlatStent - Olaf Franzen and Stephan Baldus
Introduction
Description of the Coherex FlatStent EF PFO Closure System
Description of the Coherex FlatStent Delivery Catheter
Working Principle of the Devicein Relation to PFO Morphology
Deployment of the FlatStent EF
Preprocedural, Intraprocedural, and Postprocedural Imaging
Preprocedural Echocardiographic Evaluation
Postprocedural Care
Preliminary Clinical Results with the Coherex FlatStent EF PFO Closure System
Summary and Conclusions
Acknowledgments
References
36. The St. Jude Medical Premere Device for PFO Closure - Jennifer Franke, Stefan Bertog, and Horst Sievert
Introduction
Trial Studies
References
Index

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