| Thrombus formation during percutaneous closure of an atrial septal defect with an Amplatzer septal occluder. | |
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MedLine Citation:
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PMID: 21841876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Percutaneous closure of an ostium secundum-type atrial septal defect is typically a safe and effective therapeutic option in the presence of significant shunting or paradoxical embolism. Infrequently, however, periprocedural sequelae occur.Herein, we report the cases of 2 patients, each of whom underwent transcatheter closure of an atrial septal defect with the use of an Amplatzer Septal Occluder under transesophageal echocardiographic guidance. In both patients, acute thrombi formed periprocedurally, despite preprocedural anticoagulation. In patient 1, the infusion of unfractionated heparin for 24 hours prevented the recurrence of thrombus; in patient 2, the thrombus was isolated under the arm of the occluder, and unfractionated heparin was infused. Both patients were asymptomatic and without detectable thrombus after the procedure and at follow-up. These reports highlight a rare early sequela and the importance of transesophageal echocardiographic monitoring during the percutaneous closure of an atrial septal defect. |
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Authors:
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Hikmet Yorgun; Ugur Canpolat; Ergun Baris Kaya; Kudret Aytemir; Ali Oto |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 38 ISSN: 1526-6702 ISO Abbreviation: Tex Heart Inst J Publication Date: 2011 |
Date Detail:
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Created Date: 2011-08-15 Completed Date: 2012-01-05 Revised Date: 2012-01-27 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
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Languages: eng Pagination: 427-30 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Hacettepe University, 06100 Ankara, Turkey. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anticoagulants / administration & dosage Drug Administration Schedule Echocardiography, Transesophageal Female Heart Catheterization / adverse effects*, instrumentation* Heart Septal Defects, Atrial / therapy*, ultrasonography Heparin / administration & dosage Humans Infusions, Parenteral Male Middle Aged Septal Occluder Device* Thrombosis / drug therapy, etiology*, ultrasonography Treatment Outcome Ultrasonography, Interventional |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 9005-49-6/Heparin |
| Comments/Corrections | |
Erratum In:
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Tex Heart Inst J. 2011;38(5):612 Note: Dosage error in article text |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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