Risks Factors for Atrial Septal Defect Occlusion Device Migration

Abstract

Atrial septal defect (ASD) is one of the most common congenital heart defects requiring procedural intervention. In such cases, transcatheter closure of secundum ASDs has been demonstrated to be safe and effective in both children and adults, with similar success and complication rates to surgery. However, appropriate patient selection and an accurate device selection is mandatory to prevent serious complications such as ventricular arrhythmias, outflow tract obstruction of the left and right ventricle, or ischemic events secondary to the obstruction of blood flow due to device embolization.

Keywords

atrial septal defect - device - migration

• References

• 1 Fischer G, Stieh J, Uebing A, Hoffmann U, Morf G, Kramer HH. Experience with transcatheter closure of secundum atrial septal defects using the Amplatzer septal occluder: a single centre study in 236 consecutive patients. Heart 2003; 89 (2) 199-204
• 2 Kaya MG, Baykan A, Dogan A , et al. Intermediate-term effects of transcatheter secundum atrial septal defect closure on cardiac remodeling in children and adults. Pediatr Cardiol 2010; 31 (4) 474-482
• 3 Karampinis I, Pfleger S, Nowak K. Extracardial migration of an atrial septal defect occluder device. J Invasive Cardiol 2013; 25 (12) E219-E220
• 4 Ussia GP, Abella R, Pome G , et al. Chronic embolization of an atrial septal occluder device: percutaneous or surgical retrieval? A case report. J Cardiovasc Med (Hagerstown) 2007; 8 (3) 197-200
• 5 Ueda H, Yanagi S, Nakamura H , et al. Device closure of atrial septal defect: immediate and mid-term results. Circ J 2012; 76 (5) 1229-1234
• 6 Ferrero E, Ferri M, Viazzo A , et al. Migration of an AMPLATZER atrial septal occluder to the abdominal aorta. Am J Cardiol 2013; 112 (4) 612-613
• 7 Wagdi P, Kunz M. Percutaneous, minimally invasive retrieval of a dislodged and impacted device from the abdominal aorta, four months after closure of an atrial septal defect. Am J Cardiol 2008; 102 (8) 1111-1112
• 8 Zorger N, Steinbauer M, Luchner A. Percutaneous removal of embolized Amplatzer occluder from the abdominal aorta: a different type of belly-button. Eur Heart J 2008; 29 (14) 1791